* 1. Please enter the date:


* 3. Did the program help you reach your goal?

* 4. Did the program provide you with a greater awareness and understanding of one or more of these nine essential skills? (Reading, writing, numeracy, oral communication, computer use, document use, working together, thinking skills, lifelong learning)

* 5. Do you think that your skills have improved since being part of this program?

* 6. Have you been able to practice or use your new skills since being part of this program?

* 7. Do you have more of the following since participating in this program / service?

* 8. Were you satisfied with the program and the service you received?

* 9. Any other comments or concerns you would like us to know.