How Are We Doing?

Please take a few minutes to fill out this confidential survey on the quality of The Grief Recovery Method® program and services you received through The Grief Recovery InstituteTM. This survey will cover three parts: to evaluate the program, the performance of the program facilitator, and your overall learning experience with the program. Your input is critical to us and we welcome your feedback along with specific examples of both positive and negative aspects of your experience. Thank you.

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* 1. General Program Information

Please enter the date for the program (i.e. class) you most recently completed.

Date

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* 2. How did you first hear about The Grief Recovery Method® program? (Please select all that apply)

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* 3. If you attended an in-person program, please enter the location where your program (i.e. class) was held.

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* 4. In general, what is the main reason why you first participated in The Grief Recovery Method® program?
(Please select only one answer)

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* 5. For what specific type of loss did you first complete The Grief Recovery Method® program?
(Please select only one answer. If not applicable, please select N/A)

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* 6. Sometimes a griever comes to The Grief Recovery Method® for a specific loss but ends up completing the program for an entirely different reason (i.e. loss). 

For example, a griever comes to the program for the death of his/her coworker. However, upon working through the program, the griever comes to find that a loss experienced in his/her early childhood was more painful and decides to complete the program on this loss instead. Using this example as a reference, please answer the following question below. 

Is the loss that you completed the program on the same loss for which you first came to The Grief Recovery Method®? (If not applicable, please select N/A).

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* 7. In which program offered by The Grief Recovery Method® did you first participate?
(Please select only one answer)

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* 8. The structure and organization (i.e. session content and program materials) were easy to follow.

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* 9. The assignments and exercises of the program were helpful.

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* 10. I learned valuable information and skills from the program (i.e. grief myths, STERBs).

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* 11. How likely are you to recommend this program to others who may benefit from it?

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* 12. Overall, how would you rate your experience with the program?

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* 13. Additional Program Feedback

Please list any areas in which the program or physical facilities where the program took place could be improved. (If not applicable, please type N/A)

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* 14. Overall, how would you rate your experience with the facilitator(s) who delivered the program?

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* 15. Program Facilitator(s)

Please enter the name of the program facilitator.

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* 16. Please enter the name of the co-facilitator. (If not applicable, please type N/A)

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* 17. The program facilitator(s) gave clear written and oral explanations.

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* 18. The program facilitator(s) motivated me to think about different aspects of grief.

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* 19. The program facilitator(s) demonstrated professionalism and knowledge about grief and loss.

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* 20. The program facilitator(s) showed respect for the program participant(s).

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* 21. The program facilitator(s) was available for questions and/or individual consultation.

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* 22. How would you characterize the empathy that the program facilitator(s) showed for your (others') grief?

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* 23. Additional Feedback on Program Facilitator(s) 

Please share any additional comments or concerns about the program facilitator(s).
(If not applicable, please type N/A)

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* 24. Would you recommend the program facilitator(s) to others who wished to receive the program?

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* 25. Personal Information 

What is your age range (in years)?

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* 26. Which category best describes you?

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* 27. What is your gender?

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