Chronic Illness Support Group Evaluation Form
Please provide your feedback to help us improve the support group experience.
Full Name (optional)
First Name
Last Name
Email Address (optional)
example@example.com
How would you rate the overall support group experience?
1
2
3
4
5
Which topics were most helpful to you?
How comfortable do you feel sharing your experiences in the group?
1
1
2
3
4
Best
5
1 is , 5 is Best
What improvements would you suggest for the support group?
Submit
Should be Empty: