Smart PDF Form

  • "It Takes a Village" Event Feedback Survey

  • Thank you for joining us tonight. Your voice matters.
    This survey helps us understand what people in our community need to feel well and supported.
    We want to hear directly from you. Your answers will help guide what Authentic Conversations offers in the future.
    This survey takes about 2 minutes. Your answers are private. Nobody will know they came from you.

  • 1. About Tonight's Event

  • How was tonight's event?
  • What did you enjoy most? (Tick all that apply)

  • 2. About you:

  • Age group:
  • I live:
  • I live:
  • 3. Would you come to another Authentic Conversations event?
  • 4. Would you like to stay connected with Authentic Conversations?

  • Thank You
    Your feedback will help us create wellbeing support with the community, not for the
    community.
    If tonight brought up anything difficult for you, please reach out:

    • Lifeline: 13 11 14
    • Beyond Blue: 1300 22 4636
    • Kids Helpline: 1800 55 1800
    • GCH Counselling Support: Text 0426 307 518 or email eap@gch.org.au with your name, contact number and the words 'Farmer EAP'
  • Please return this survey before you leave
  • Authentic Conversations Inc. | St Arnaud
    Building stronger, kinder, more connected communities
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