Session Evaluation Form

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* 1. Session Title

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* 2. Session Date

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* 3. Provider Name

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* 4. Group or 1-on-1 Session

Group

1-on-1

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* 5. Please describe any changes in the way you feel now (physical, emotional, mental, etc.) compared with how you felt before the session started:

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* 6. What was most meaningful about this session for you?

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* 7. What feedback would you like to give this provider?

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* 8. Please select your overall experience regarding this session:

Extremely helpful

Helpful in some ways

Not helpful at all

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* 9. Were there any issues related to the technical/virtual aspect of this program that could be improved?

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* 10. What other virtual sessions would you like to see Pathways offer?

Groups

1-on-1s

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* 11. Is there any additional feedback you'd like to share?

We value your responses as it helps us continue to better serve you