Post Programme Feedback Form

Name of the programme you attended *

Name – Person 1 *

Name – Person 2 (Companion)

What did you most enjoy about the programme? *

Do you feel you were adequately supported? (5=Best)

Selected Value: 1

Participant 2:

Selected Value: 1

What additional support would you have liked, if any? *

How do you think your mood may have changed having taken part in the programme?

Selected Value: 1

1= Much worse, 2 = A bit worse, 3= No change, 2= A bit better, 5= Much better

Participant 2:

Selected Value: 1

1= Much worse, 2 = A bit worse, 3= No change, 2= A bit better, 5= Much better

What are your overall thoughts about the programme? *

Is there anything that would have improved the programme?

Would you like to receive our quarterly e-newseltter? *

Finally, do you have any other comments?