Post-Course Report | Y4EDR Series

Your Name:*

First NameLast Name
Email:*
example@example.com
Course Participation
How many participants enrolled in your course?*
Were all participants present for the entirety of all scheduled sessions?

YesNo
Please describe the circumstances that led the participant(s) to miss a scheduled session:
Did any participants drop out of your course?*

YesNo
Please describe why they dropped out, if known:
Did you have to ask any participants to leave the course?*

YesNo
Please describe the circumstances that led to you asking the participant(s) to leave:
Participant Engagement

Participants consistently attended sessions (excluding any extenuating circumstances).*

	1	2	3	4	5

1 is Strongly disagree, 5 is Strongly agree

Participants were actively engaged during discussions and activities.*

	1	2	3	4	5

1 is Strongly disagree, 5 is Strongly agree

Participants seemed interested in the content of the program.*

	1	2	3	4	5

1 is Strongly disagree, 5 is Strongly agree

Participants built friendships and a sense of community among one another.*

	1	2	3	4	5

1 is Strongly disagree, 5 is Strongly agree

Participants were able to express their thoughts, feelings, and experiences.*

	1	2	3	4	5

1 is Strongly disagree, 5 is Strongly agree

Participants reported improvements in their relationship with food, body, and self.*

	1	2	3	4	5

1 is Strongly disagree, 5 is Strongly agree

Other
Please use the space below to share any other relevant information about how your course went:
Should be Empty: