Journal Program Evaluation Survey Form.
Share your experience with the journal program.
Your role in the journal program
Participant
Facilitator
Program organizer
Other
How long have you participated in the program?
Less than one month
1–3 months
4–6 months
More than 6 months
Not sure
Overall, how would you rate your experience?
1
2
3
4
5
How much do you agree with these statements about the program?
Rows
Strongly disagree
Disagree
Neither agree nor disagree
Agree
Strongly agree
The program was clearly explained.
1
2
3
4
5
The program was useful to me.
6
7
8
9
10
The program was accessible to me.
11
12
13
14
15
I felt supported in participating.
16
17
18
19
20
How often did you use the journal materials or activities?
Daily or almost daily
A few times a week
About once a week
A few times a month
Rarely
Never
Which parts of the program were most useful?
Journal prompts
Guided activities
Reflection time
Facilitator support
Peer discussion
Other
How manageable was the program’s time commitment?
Much too low
A little too low
About right
A little too high
Much too high
What was the most valuable part of the program for you?
What would you change or improve?
Would you recommend this journal program to others?
Definitely not
Probably not
Not sure
Probably yes
Definitely yes
Submit Survey
Should be Empty: