Feedback Survey

Directions: Complete the following survey based on your experience.

Name:
Date:
Disease/Disorder:
How informative was the speaker?

5 4 3 2 1

Additional Comments:
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How supported did you feel?

5 4 3 2 1

Additional Comments:
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Did you learn anything new? If so, please explain.

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Additional Comments:
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Did you enjoy the group you were in? If any, what changed would you make?
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Additional Comments:
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Thank you for your feedback. We hope to see you again!