Healing Vine Harbor Workshop Survey

Healing Vine Harbor Workshop Survey

Please respond to each of the items below by checking the box which corresponds closest to your evaluation. Your feedback is essential to the services that Healing Vine Harbor provides.
What workshop did you attend?

Degree of interaction with participants?

	1	2	3	4	5

1 is Very Dissatisfied, 5 is Very Satisfied

Facilitators presentation of the material?

	1	2	3	4	5

1 is Very Dissatisfied, 5 is Very Satisfied

Relevance of the subject matter to your life?

	1	2	3	4	5

1 is Very Dissatisfied, 5 is Very Satisfied

Experience as a whole?

	1	2	3	4	5

1 is Very Dissatisfied, 5 is Very Satisfied

I am leaving today with at least one technique I can use.

YesNoNot sure
If "Yes" please describe?
Would you recommend this workshop to a friend?

YesNoNot sure
If "Yes" please describe?
What did you like most about the workshop?
What could have been improved, if anything?
Would you be interested in a follow-up session?

YesNo
Would you be interested in participating in more Healing Vine Harbor workshops?

YesNo
If "No" please describe?
What topics are of interest to you?

anger managementrelaxation techniquesstress and worrydepressionstruggles in personal relationshipsyogalow self-confidence or self-esteemmoney managementgoals and motivationeating disordersdomestic violencegriefother
If "other" please specify?
Name

First NameLast Name
Name:
Phone Number

Area CodePhone Number
Email
example@example.com
Should be Empty: