Roots Family Collaborative · Program Participation Survey

Contact Information

Name

First Name

Last Name

(Name of special event or workshop)

2. When did you attend this particular group or program at Roots?

3. Your overall impression of the group or program is very important to us. On a scale of 1 to 5 (with 5 as most positive), how would you rate your overall experience? *

(Optional) Please share more about how you chose your rating, i.e, did the space feel welcoming, did the time/day work for you, was it easy to find us, was the facilitator prepared for group, etc.

4. Did the group or program meet your expectations? *

(Optional) Please share more about your experience. Are there any details that could help us understand your perspective?

5. What was your overall impression of the facilitator(s) or instructor? *

(Optional) Please share more about your experience with the facilitator or instructor.

6. Based on your experience, how likely are you to come to future groups or programs? *

(Optional) Are there any other specifics we should know about having you return to group, or any barriers that we should be aware of?

7. Word of mouth is one the best ways to share the love about Roots. Would you recommend this group to a friend? *

8. Your feedback is SO valuable. Do you have any additional comments or suggestions related to the questions above or is there anything we missed?

9. Would you be willing to write a testimonial we could share to help others learn about this group?

10. Can we contact you to discuss your feedback further? *

Yes

No

11. Are there topics or specific populations we should be addressing or serving at Roots that we aren't currently?

Thank YOU!

From all of us at Roots, we truly appreciate the time you took to tell us how well we're serving our community! We hope you feel you are not alone, and know you can reach out for support by calling 406-224-5530 or emailing us hello@rootsfamilycollaborative.com.