Supportive Information Session Feedback Form Question Title * 1. Which Supportive Information Session(s) did you complete? Check all that apply. Addiction and the Brain Blood Alcohol Level Coping in Withdrawal Coping with Anxiety Coping with Cravings Coping with Depression Family Impacts Goal Setting Healthy Relationships Mindfulness and Selfcare Money Matters Overdose Prevention Parenting and Addiction Post Acute Withdrawal Stress Management I have not completed a Supportive Information Session OK Question Title * 2. How helpful did you find this session(s)? Not Helpful Very Helpful Not Helpful Very Helpful OK Question Title * 3. Do you enjoy the online format of the Supportive Information Sessions? I do not enjoy this format. I really enjoy this format. I do not enjoy this format. I really enjoy this format. OK Question Title * 4. Would you have preferred to have a live facilitator for this session(s)? Yes. I would like to have a live facilitator No. I would not like to have a live facilitator It doesn't matter to me if there is a live facilitator I prefer not to say N/A OK Question Title * 5. One new thing I learned today was: OK Question Title * 6. One question this topic(s) raised for me was: OK Question Title * 7. Because of today's information, I am going to do or try: OK Question Title * 8. Other Comments OK Question Title * 9. Please provide any feedback you may have about the online Supportive Information Sessions. OK Question Title * 10. Name of 1-1 Counsellor (if applicable) OK Question Title * 11. Please provide us with your contact information if you wish for us to contact you regarding your experience with our online Supportive Information Session(s). Name Email Address Phone Number OK Question Title * 12. Please enter your date of birth. This is used for statistical analysis. DD/MM/YYYY Date OK Question Title * 13. Please select your identified gender. This is used for statistical analysis. Male Female Other OK DONE
