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Classes Feedback Form
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Thank you for taking part in this activity. By completing this questionnaire, you are helping us to improve and sustain services. We appreciate it!
Please be aware that your details will be shared across the Holloway Neighbourhood Group and stored and shared confidentially for monitoring purposes. We will only use the information you provide anonymously.
Name
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First
Last
Phone Number
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Email
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Which activity did you attend? Select One
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Egyptian Dance (for women)
Art
Creative Writing
Men's Social Group
T'ai Chi
Yoga
Chair Yoga
Digital Inclusion
Warm Room
Mixed Elders Exercise
Knit Together
Other
Has your activity helped you to learn new skills? Select One
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Yes
No
Has your activity helped you to improve your existing skills? Select One
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Yes
No
How much would you say that your wellbeing has improved since taking part in the activity? Select one
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Stayed the same
Slight improvement
Moderate improvement
Significant improvement
(Your Wellbeing includes your physical and mental health and your
feelings of being connected to others)
Testimonial: What is it about taking part in this activity that has made an impact on your physical health, mental health or feelings of being connected to others? Type in the box below.
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Please let us know if you have any suggestions for improvements or ideas you would like to let us know about. Thank-you. Type in the box below.
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How likely are you to recommend us to a friend or family member? Select One
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Not at all likely
Possibly
Extremely likely
How many stars would you give for our session today? Select One
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1 star = Very Dissatisfied
2 stars = Dissatisfied
3 stars = Satisfied
4 stars = Very Satisfied
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