Digital Detox Therapy Program Evaluation Survey
Please complete this survey to help us improve the Digital Detox Therapy Program. Your honest feedback is valuable and will remain confidential.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Date of Program Attended
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How satisfied were you with the overall Digital Detox Therapy Program?
*
1
2
3
4
5
Please rate the following aspects of the program:
*
Rows
Very Poor
Poor
Average
Good
Excellent
Program Content
1
2
3
4
5
Facilitator Effectiveness
6
7
8
9
10
Group Activities
11
12
13
14
15
Support Materials
16
17
18
19
20
Venue/Online Platform
21
22
23
24
25
Since completing the program, how has your relationship with digital devices changed?
*
Significantly improved
Somewhat improved
No change
Somewhat worsened
Significantly worsened
What benefits did you experience as a result of participating in the program? (Select all that apply)
*
Reduced screen time
Improved sleep quality
Better focus or productivity
Improved mood or mental well-being
More time for hobbies/relationships
Other
Which program activities or methods did you find most helpful?
*
Group discussions
Mindfulness exercises
Digital-free challenges
Educational sessions
Personal reflection tasks
Other
What challenges or difficulties did you experience during the program?
Difficulty disconnecting from devices
Lack of motivation
Social or work obligations
Limited support from others
Program pace or structure
Other
Would you recommend the Digital Detox Therapy Program to others?
*
Yes, definitely
Maybe
No
Please share any additional comments, suggestions, or feedback about your experience.
Submit Evaluation
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