Pre Webinar Mindfulness Survey
Self-Needs Assessment
1.
What is your age?
17 or younger
18-20
21-29
30-39
40-49
50-59
60 or older
2.
In what community do you live?
3.
What organization do you work for?
4.
Please choose the selection that most closely matches your job role.
Tribal Youth health educator
K-12 classroom teacher
Youth-serving providers
Tribal council member
Parent
Other
If other (please specify)
5.
I've done mindfulness before?
Yes
No
6.
Where did you do mindfulness? A class, in private counseling, YouTube, an app on a digital device, other
A class
In private counseling
YouTube
App on a digital device
Other
7.
If you could have one thing to take away from this webinar, what would that be?
8.
I've done mindfulness with Wendy before.
Yes
No
9.
How did you find out about this mindfulness webinar?
Word of mouth
Newsletter
Facebook event
Other
If other (please specify)
