2. What was the most useful part of this class? *

   Please check all that apply

   1. Handouts
   2. Activities/Learning exercises
   3. In class discussion
4. What was the least helpful part of class? *

   Please check all that apply

   1. Handouts
   2. Activities/Learning exercises
   3. In class discussion
6. Was the amount of time allotted for this class?*

   Please check all that apply

   1. Too long
   2. Too short
   3. Just right
8. Were the resources offered or discussed specific to your needs?*

   1. Yes
   2. No
10. Were you given those resources today before you left class?*

    1. Yes
    2. No
12. Did you find the teacher of this class engaging?*

    1. Yes
    2. No
14. Why or why not?*
16. In general, how likely or unlikely are you to use what your learned today in your next visit with your child(ren)?*

    1. 1 – Extremely Unlikely
    2. 2 – Unlikely
    3. 2 – Unlikely
    4. 4 – Extremely Likely
18. Which resources that you learned about do you plan to use?
20. Which resources do you still need that were not talked about in class today?
22. What types of self-care will you put into practice after taking today’s class?*

    Check all that apply

    1. Mind
    2. Body
    3. Emotions
    4. Spirit
    5. Relationships
    6. Other
    7. All
Leave This Blank:


24. 1. Receive an email copy of this form.
25. Email address

    This field is not part of the form submission.

26. Submit

* indicates a required field