Wig Pre-Participant Survey
In order for the Maggie's Wigs 4 Michigan program to provide excellent service, we need you honest feedback. Your response help us to do this.
One a scale from 1 to 4 with 1 being strongly disagree and 4 being strongly agree, please rate the following. Before receiving your wig...
I enjoy going out in public
I feel comfortable around my friends
I participate in social activites
I feel confident about my appearance
How can Wigs 4 Kids continue to support you?
Please check the following:
Individual & Family Talk Therapy
What is your goal by participating in the program?
To feel more confident
To like the way I look
To feel like myself again
To make new friends
Are you a boy or a girl?
How old are you?
Should be Empty: