Post-Activity Survey
Name
*
Name
First Name
First Name
Last Name
Last Name
Date
What shifted for you during the Activity?
Happy
Sad
Excited
Worried
Have you experienced increased social or family connection
*
Yes
No
Not Applicable
Unknown
Have you gained any new Knowledge or Skills ?
*
Yes
No
Not Applicable
Unknown
Has Your health and well-being improved
*
Yes
No
Not Applicable
Unknown
Do you feel Better about Yourself
*
Yes
No
Not Applicable
Unknown
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Submit Your Insights
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