Online Wellness Feedback Form

Thanks for participating in online wellness.

We want to continue improving what we do. Your feedback will help us to provide activities that support your wellness and recovery.
Which activity did you attend? *

Overall, how was it? *

	1	2	3	4	5	6	7	8	9	10

1 is Boring, 10 is Fantastic

After the activity, how inspired did you feel? *

	1	2	3	4	5	6	7	8	9	10

1 is Unmotivated, 10 is Empowered

How likely are you to participate in another online wellness activity? *

	1	2	3	4	5	6	7	8	9	10

1 is Not at all, 10 is Definitely

Would you recommend this wellness activity to a friend? *

Yes, definitely Maybe No, never

The facilitator was...

	Not at all	Not really	Somewhat	Mostly	Definitely
Interesting and entertaining
Relevant
Inspiring
Attentive to me
Listening to me
An asset to my wellness

Optional: Contact Details