Request edit access
SDp3 VIRTUAL EVALUATION FORM
Thank you for participating and for taking the time to share your feedback. Your comments and suggestions will help us improve our programs.  Your feedback is also important for us to share anonymously with our supporters so we can continue offering these programs.

NB. The information provided on this form may also aid us in distributing resources and support to you and your family. 
Sign in to Google to save your progress. Learn more
Email *
Date of Birth *
MM
/
DD
/
YYYY
How strongly do you agree or disagree with this statement? After this presentation, I am more familiar with the warning signs for mental health conditions.
 *
How strongly do you agree or disagree with this statement? After this presentation, I believe more strongly that recovery from mental illness is possible.
 *
How strongly do you agree or disagree with this statement? After this presentation, I feel a greater sense of community with people who suffer from mental health conditions. 
 *
How strongly do you agree or disagree with this statement? I learned information that is helpful for me.
 *
How strongly do you agree or disagree with this statement? The presenter(s) communicated well.
 *
How strongly do you agree or disagree with this statement? I would recommend this presentation to others.
 *
How strongly do you agree or disagree with this statement? After this presentation, I feel that I am better able to cope with my mental health challenges.
 *
In your own words, what information was most helpful to you?  What issues do you know more about after this presentation?
 *
Please describe the top three actions you plan to take that will help yourself or others who struggle with mental health challenges. 
 *
What other topics are you interested in learning about?
 *
Would you like us to refer you to other mental health support services?  Specifically, what kinds of mental health support do you most need help with?
 *
Are there other organizations that you think we should partner with?  Which one(s)?  Do you have a contact person there?  What is their name?
 *
Would you be willing to help spread the word about SDp3 to your family, friends, community and/or share your personal experience at future events?  If so, how would you most like to help?
Clear selection
Is there something we can do better? How did we do? 
 *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms