Participant Survey

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* 1. Name

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* 2. Email

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* 3. Zip Code: XXXXX

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* 4. Are you a parent or a student?

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* 5. Are you military connected (Active Duty, Veteran, military spouse, or military dependent)?

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* 6. Please rate the following statements by choosing an option:

  Strongly Disagree Disagree Neutral Agree Strongly Agree N/A
The information and resources provided are useful to me.
The information provided taught me a new tip/trick tool for my personal learning.
Before the forum attended, I felt comfortable discussing the topic with my children/parents.
After the forum attended, I feel comfortable in discussing the topic with my children/parents.

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* 7. What was your favorite part of the forum you attended?

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* 8. Please rate the following statements by choosing an option:

  Strongly Disagree Disagree Neutral Agree Strongly Agree
I am aware of community resources I can utilize if faced with a challenge and/or crisis.
I communicate effectively with my child(ren)/parents.
I feel I have a network of support (family and friends) in times of need.
I understand how to nurture my relationship with my child(ren)/parents.
I feel connected to the community.

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* 9. Please rate the following statements by choosing an option:

  Strongly Disagree Disagree Neutral  Agree Strongly Agree
Overall, I believe this was a useful/valuable forum.
I would recommend this forum to others.
Overall, I am satisfied with my participation at the WIWMPK forum.

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* 10. Would you like to be involved in supporting future WIWMPK events as a parent/ student representative?

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* 11. Do you have any topic/feedback in mind you would like to consider for a future forum?

0 of 11 answered
 

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