STOP Parent Weekly Evaluation Form

Parents Name*

Name of group*

Session Number*
Session 1Session 2Session 3Session 4Session 5Session 6Session 7Session 8Session 9Session 10Other

Session Date*

I found this session to be?*
Not InformativeNeutralQuite InformativeVery Informative

I feel that the group facilitators were*
Not InformativeNeutralQuite InformativeVery Informative

I would like to have more information on*

We would welcome further comments on the session as this informs our practice, thank you*

Is there anything from this session that you would like the group facilitators to discuss with you by phone in more detail?*
Yes, please phone me this weekNo

Group leaders email address*
This is where your form will be sent, please check spelling

Your email address
This is optional, please fill out if you wish to recieve a copy for your records.