Satisfaction with CD, How to Stop Being Teased and Bullied without Really Trying

1. CD Program Evaluation–How to Stop Being Teased and Bullied without Really Trying

Please take a few moments to complete this survey on the Bullies to Buddies CD program, How to Stop Being Teased and Bullies without Really Trying. We welcome your feedback and appreciate your honesty.

1. Others will be able to read your responses. If you don't want you name to be known, please provide only your initials in the name field or leave it blank.

Others will be able to read your responses. If you don't want you name to be known, please provide only your initials in the name field or leave it blank. Your name or initials:
School name:
City/Town:
State/Province (required):
Country (required):
Email Address:
Phone Number:

2. Date:

	MM		DD		YYYY
MM/DD/YYYY	Date: MM/DD/YYYY Month	/	Day	/	Year

3. Who used the CD program? (check all that apply)

Who used the CD program? (check all that apply) Myself (I am an adult who needed help with teasing and bullying)

Myself (I am a child who needed help with teasing and bullying)

My child

My student

My entire class (I am a teacher and I had the class listen to it together)

My client (I am a counselor or therapist)

My counseling group (I am a counselor and I had a group listen to it together)

4. How helpful was the CD program in solving the teasing/bullying problem?

How helpful was the CD program in solving the teasing/bullying problem? Very helpful

Somewhat helpful

Had no effect

Made the situation worse

5. Do you think that others who are suffering from teasing/bullying should listen to the CD program?

Do you think that others who are suffering from teasing/bullying should listen to the CD program? Yes

Not sure

6. Please provide comments about your experience with the CD program. Feel free to write in detail. Your responses may be read by others who are considering using the CD program.

Please provide comments about your experience with the CD program. Feel free to write in detail. Your responses may be read by others who are considering using the CD program.

Your comments will appear in our website so they can be read by those considering using the CD program How to Stop Being Teased and Bullied Without Really Trying.

Please remember: If you don't want your name to be seen, you should have put only your initials in the name field or left it blank.

Thank you,
Bullies to Buddies, Inc.

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