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 guided imagery and how to take you to a place of relaxation and calm? (Required.)

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2. Do you think guided imagery will help improve your well-being? (Required.)

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3. Do you think you will try these guided imagery techniques on your own? (Required.)

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4. Did this program meet your expectations? (Required.)

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5. Did you have any technical or other difficulties with the virtual presentation? (Required.)

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

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6. Diane Lafferty, LCSW, OSW-C (Required.)

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7. Are you a: (Required.)

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8. How did you hear about this program? (Required.)

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9. Do you have any suggestions for topics for future programs? (Required.)

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10. Would you consider participating in other virtual offerings from Leever? (Required.)

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

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12. Other comments:

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

Check out our upcoming events: www.leevercancercenter.org
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