Thank you so much for taking the time to share your honest and thoughtful feedback about NAMI Seattle's programs. If you wish to contact our Program Manager directly, you are welcome to do so at katie@namiseattle.org.

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* 1. Which NAMI Seattle program are you providing feedback about?

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* 2. If you participated in any of the above programs, were you (check all that apply):

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* 3. If you are describing a specific meeting, presentation, or class, when did it take place?

Date / Time

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* 4. Where did this program take place?

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* 5. Please describe your experience in as much detail as you wish. This information will be sent directly to NAMI Seattle's Program Manager. You will have the option to let us know whether you prefer your feedback to remain confidential, or to be shared with the program leader.

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* 6. If you had a positive experience, what made it so good?

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* 7. If you did not have a good experience, what would have made it better?

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* 8. Optional contact information (this will allow our Program Manager to follow up with you to ask clarifying questions or provide any updates about your feedback)

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* 9. What level of confidentiality do you prefer?

T