EDRC Parents and Loved Ones Support Group Survey

Exit this survey

 

1. Name (optional):

Name (optional):

2. Gender:

Gender:   Male Female

3. Age (years):

Age (years):   a. <19 b. 20-29 c. 30-39 d. 40-49 e. >50

4. Number of meetings attended to date:

Number of meetings attended to date:   a. 1 b. 2-4 c. 5-9 d. 10+

5. Please choose one answer for each question below.

	Excellent	Good	Average	Poor
Location	*Please choose one answer for each question below. Location Excellent	Location Good	Location Average	Location Poor
Day of the meeting	Day of the meeting Excellent	Day of the meeting Good	Day of the meeting Average	Day of the meeting Poor
Time of the meeting	Time of the meeting Excellent	Time of the meeting Good	Time of the meeting Average	Time of the meeting Poor
Length of the meeting	Length of the meeting Excellent	Length of the meeting Good	Length of the meeting Average	Length of the meeting Poor
Size of the group	Size of the group Excellent	Size of the group Good	Size of the group Average	Size of the group Poor
Group leader skills	Group leader skills Excellent	Group leader skills Good	Group leader skills Average	Group leader skills Poor
The support group overall	The support group overall Excellent	The support group overall Good	The support group overall Average	The support group overall Poor

6. List 2 ways this support group has been beneficial to you

List 2 ways this support group has been beneficial to you

7. How helpful has this support group been:

How helpful has this support group been:   Very helpful Somewhat helpful Not helpful

8. How could the group be improved?

How could the group be improved?

9. Would you come to another EDRC support group meeting again?

Would you come to another EDRC support group meeting again?   Yes No

If no, is there anything that would affect your decision to return to the support group?

10. Would you recommend this support group to other people?

Would you recommend this support group to other people?   Yes No

11. Are there any other topics or formats that you would like to see implemented or learn more about?

Are there any other topics or formats that you would like to see implemented or learn more about?

12. Other comments or suggestions?

Other comments or suggestions?

13. Please provide your name and mailing address if you would like to be on our mailing list:

Please provide your name and mailing address if you would like to be on our mailing list: