PARTICIPANT FEEDBACK FORM

1. 1. Usefulness *

1 = Unsatisfactory

2 = Satisfactory

3 = Good

4 = Excellent

2. Suitable pace and speed *

1 = Unsatisfactory

2 = Satisfactory

3 = Good

4 = Excellent

3. Participation *

1 = Unsatisfactory

2 = Satisfactory

3 = Good

4 = Excellent

4. Facilitator/s (How do you rate the presenter/facilitator?) *

1 = Unsatisfactory

2 = Satisfactory

3 = Good

4 = Excellent

WILL YOU RECOMMEND THIS PROGRAMME *

YES

NO

DO YOU WANT US TO CONTACT YOU FOR

Individual Counselling session

Other reason

Name

First Name

Last Name