Life Choices Program - Student Feedback Form

Question Title

* 1. What High School are you from?

Question Title

* 2. What Year are you in?

Year 7

Year 8

Year 9

Year 10

Year 11

Year 12

Question Title

* 3. Are you Male or Female?

Male

Female

Question Title

* 4. How many stars (out of 6) would you rate the Life Choices presentation? (please circle if printed)

Reason for your score?

Question Title

* 5. What was your favourite part of the presentation?

The humour

Lily's story

Practical advice

Challenge to take control

Racing highlights

Seeing the replica race car (if applicable)

Other (please specify)

Question Title

* 6. Was the presentation relevant to your age group?

Yes

No

Question Title

* 7. Did the presentation encourage you to take more control of your life?

Yes

No

Question Title

* 8. Did the presentation encourage you to value yourself more?

Yes

No

Question Title

* 9. Do you personally think it's helpful to discuss values & beliefs?

Yes

No

Question Title

* 10. Finally, how would you rank the Life Choices presentation vs similar ones you've seen?

Worse

Same

Better

THE BEST!

Reason for your answer?

Thanks for your feedback. For more great info, connect with us on Facebook @lifechoicesfoundation or Instagram @lifechoices_foundation