Feedback Form
Name
*
First Name
Last Name
Phone
Email
*
example@example.com
Location
*
Please Select
Adelaide, SA
Bunbury, WA
Canberra, NSW
Hobart, TAS
Macarthur, NSW
Melbourne, VIC
Sydney, NSW
Due Date/ Baby's Birthdate
*
/
Day
/
Month
Year
Date
Session Date
*
/
Day
/
Month
Year
Date
Session Type
*
Childbirth Education (Expectant Dads)
Parent Education (0-3 Parenting Stage)
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Venue Feedback
Meal Feedback
Was your presenter engaging?
*
Very engaging
Somewhat engaging
Neutral
Somewhat disengaging
Not engaging at all
Would you recommend this session to others?
*
Yes
No
What would you say in recommending Beer + Bubs?
Are you willing to come back to a future session to share your birth story with a new group of lads?
*
Yes
No
Maybe
Would you attend a 'Beer + Bubs Parenting' session, designed for dads in the 0–3 parenting stage?
Yes
No
Maybe
How would you rate your overall experience?
*
Worst
1
2
3
4
Best
5
1 is Worst, 5 is Best
Overall Experience
*
Suggestions for Improvement
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Next
How did you know about Beer and Bubs
*
Facebook
Instagram
YouTube
Facebook
Local News
Friend/Word of Mouth
Advertisement
Beer and Bubs Website
Referral
Other
Do you consent to having your feedback shared for promotional purposes?
*
Yes
No
How would you like your name to appear?
First and Last Name
First Name Only
Anonymous
Location, Age
Other, Please Specify
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