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?
Awaken: the Art of Healthy Love (Oct22)
Affordable Housing (Nov22)
Achievement Celebration (Dec22)
SMART Goals and Motivation (Jan23)
Adjust Your Crown (Feb23)
Paint Party [Women's History Month] (Mar23)
Sista Chat! (Apr23)
Anger Management (May23)
Cookout/ Jewelry Party (June23)
Degree of interaction with participants?
1
2
3
4
5
Very Dissatisfied
Very Satisfied
1 is Very Dissatisfied, 5 is Very Satisfied
Facilitators presentation of the material?
1
2
3
4
5
Very Dissatisfied
Very Satisfied
1 is Very Dissatisfied, 5 is Very Satisfied
Relevance of the subject matter to your life?
1
2
3
4
5
Very Dissatisfied
Very Satisfied
1 is Very Dissatisfied, 5 is Very Satisfied
Experience as a whole?
1
2
3
4
5
Very Dissatisfied
Very Satisfied
1 is Very Dissatisfied, 5 is Very Satisfied
I am leaving today with at least one technique I can use.
Yes
No
Not sure
If "Yes" please describe?
Would you recommend this workshop to a friend?
Yes
No
Not 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?
Yes
No
Would you be interested in participating in more Healing Vine Harbor workshops?
Yes
No
If "No" please describe?
What topics are of interest to you?
anger management
relaxation techniques
stress and worry
depression
struggles in personal relationships
yoga
low self-confidence or self-esteem
money management
goals and motivation
eating disorders
domestic violence
grief
other
If "other" please specify?
Name
First Name
Last Name
Phone Number
-
Area Code
Phone Number
Email
example@example.com
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