JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Support Group Feedback form
Thank you for taking the time to give us your feedback. Together we are stronger!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Date of meeting:
*
MM
/
DD
/
YYYY
Location of meeting, if applicable
City and State
Your answer
Your Name (optional):
Your answer
Age (optional):
Your answer
Gender (optional):
Your answer
Was this your first EDS support group meeting?
*
Yes
No
How did you hear about this meeting?
*
Email
Facebook
Healthcare provider
Friend
Other
Where did you get help prior to attending this support group?
*
Your answer
Group discussions were well regulated.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
Content of group discussions was relevant.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
Facilitator was knowledgeable about EDS.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
There were adequate resources available.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
Venue accessibility was accommodating.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
Appropriate frequency / length of meeting.
*
Strongly Disagree
1
2
3
4
5
Strongly Agree
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
