Building Your Self-Care Toolbox: Breathwork

Program Evaluation Form:

Please take a moment to complete the following questions.

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* 1. Did this presentation provide you with an understanding of your breath and how it can influence stress and relaxation?

Yes

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* 2. Do you think breathwork exercises will help improve your well-being?

Yes

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* 3. Do you think you will try these breathwork techniques on your own?

Yes

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* 4. Did this program meet your expectations?

Yes

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* 5. Did you have any technical or other difficulties with the virtual presentation?

Yes

Please select the comment that best describes your opinion of the presenter(s):

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* 6. Diane Lafferty, LCSW, OSW-C

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Poor

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Excellent

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* 7. Are you a:

Patient

Caregiver

Family member

Healthcare provider

Community member

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* 8. How did you hear about this program?

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* 9. Do you have any suggestions for topics for future programs?

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* 10. Would you consider participating in other virtual offerings from Leever?

Yes

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* 11. Is there anything we could do to improve the experience of watching our Building Your Self-Care Toolbox videos?

Yes (please explain)

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* 12. Other comments:

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* 13. To receive notices of upcoming programs, please complete the following:

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