We ask you these questions to serve you better. All information is kept confidential.

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* 1. Which Support Group did you attend today?

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* 2. Are you new to our support groups?

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* 3. How did you hear about AMI-Quebec?

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* 4. What is your age?

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* 5. How would you describe your gender?

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* 6. What do you identify as? (check all that apply)

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* 7. What is your role? (check all that apply)

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* 8. What is your Postal Code at home?

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* 9. Why did you seek help from us today?

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* 10. Was this support group helpful to you? (Yes, No, Maybe). Please explain:

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* 11. Did you have enough opportunity to participate? (Yes, No, Maybe). Please explain: 

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* 12. Were you satisfied with the Facilitators? (Yes, No, Maybe). Please explain:

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* 13. Do you have other comments or suggestions?

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* 14. Do you have any suggestions for new events at AMI-Quebec?

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* 15. Would you like monthly emails about AMI-Quebec's programs, news, and upcoming events? If yes, put your email address below:

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* 16. Want to speak to someone from AMI-Quebec? Please provide your name and contact info:

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* 17. Want to give back to AMI-Quebec?

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