JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Feedback Form - Service Providers (Workshops / Info Booth)
We would love to hear your thoughts, concerns and feedback so we can improve!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of school / organisation (optional)
Your answer
Contact name (optional)
Your answer
What type of engagement did we attend?
Workshop / Presentation
Info Booth / Event
Group Activities (e.g. drop in)
Clear selection
If we delivered a WORKSHOP or PRESENTATION, please tick which topic.
Alcohol: Knowing the limits
Anxiety & Depression
Body Image & Self-worth
Budget like a boss...(financial literacy)
Bullying
Cyberbullying and cybersafety
Dealing with the ups and downs of online dating
Drugs: Knowing the limits
Exam/Study Stress & Coping
Meet headspace
Mental Health 101
Relationships & Conflict
Social media
Stress & Coping
Tips for a healthy headspace & self-care
Transitioning into high school
Transitioning out of high school
Your Mood When You Move (physical & mental health relationship)
Other:
Clear selection
Who was the target audience?
Young people 12-18 (all years)
Young people 11-12 (year 6)
Young people 12-13 (year 7)
Young people 13-14 (year 8)
Young people 14 - 15 (year 9)
Young people 15 - 16 (year 10)
Young people 16 - 17 (year 11)
Young people 17 - 18 (year 12)
Exam/Study Stress & Coping
Young people 12 - 25
Young people 18 - 25
Parents and carers
Staff
Service providers
Overall, how satisfied are you with headspace's involvement in the event / workshop / presentation
*
Very satisfied
Satisfied
Neutral
Dissatisfied
Very dissatisfied
How relevant was our activity to the group we engaged with on the day?
*
Very relevant
Somewhat relevant
Not at all relevant
How likely are you to engage us again in the future?
Very likely
Likely
Not so likely
Not at all likely
Clear selection
What did you like most about the event / workshop / presentation?
Your answer
What can we improve on?
Your answer
Additional information or comments.
Your answer
Would you like us to contact you about your feedback? (optional). If so, please write your contact number and/or email address below.
Your answer
Submit
Page 1 of 1
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