Supportive Information Session Feedback Form

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* 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

Coping with the Holidays

Exploring Change

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

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* 2. How helpful did you find this session(s)?

Not Helpful

Very Helpful

Not Helpful

Very Helpful

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* 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.

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* 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

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* 5. One new thing I learned today was:

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* 6. One question this topic(s) raised for me was:

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* 7. Because of today's information, I am going to do or try:

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* 8. Other Comments

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* 9. Please provide any feedback you may have about the online Supportive Information Sessions.

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* 10. Name of 1-1 Counsellor (if applicable)

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* 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

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* 12. Please enter your date of birth. This is used for statistical analysis.

DD/MM/YYYY

Date

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* 13. Please select your identified gender. This is used for statistical analysis.

Male

Female

Other