Event Evaluation Form

Thank you for joining our clinician gathering. We would love to hear your thoughts, feedback, and suggestions to help us improve future community events. The form is completely anonymous and should take only a few minutes to complete.

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Would you attend a future Roamers Therapy gathering again? *

• Yes
• No
• Undecided

Please rate your overall experience at our event (copy)

	Very Dissatisfied	Dissatisfied	Neutral	Satisfied	Very Satisfied
Venue & Atmosphere	Very DissatisfiedVenue & Atmosphere Very Dissatisfied	DissatisfiedVenue & Atmosphere Dissatisfied	NeutralVenue & Atmosphere Neutral	SatisfiedVenue & Atmosphere Satisfied	Very SatisfiedVenue & Atmosphere Very Satisfied
Coordinator Support	Very DissatisfiedCoordinator Support Very Dissatisfied	DissatisfiedCoordinator Support Dissatisfied	NeutralCoordinator Support Neutral	SatisfiedCoordinator Support Satisfied	Very SatisfiedCoordinator Support Very Satisfied
Opportunities for Connection	Very DissatisfiedOpportunities for Connection Very Dissatisfied	DissatisfiedOpportunities for Connection Dissatisfied	NeutralOpportunities for Connection Neutral	SatisfiedOpportunities for Connection Satisfied	Very SatisfiedOpportunities for Connection Very Satisfied
Food & Refreshments	Very DissatisfiedFood & Refreshments Very Dissatisfied	DissatisfiedFood & Refreshments Dissatisfied	NeutralFood & Refreshments Neutral	SatisfiedFood & Refreshments Satisfied	Very SatisfiedFood & Refreshments Very Satisfied
Day & Time Convenience	Very DissatisfiedDay & Time Convenience Very Dissatisfied	DissatisfiedDay & Time Convenience Dissatisfied	NeutralDay & Time Convenience Neutral	SatisfiedDay & Time Convenience Satisfied	Very SatisfiedDay & Time Convenience Very Satisfied
Sense of Community	Very DissatisfiedSense of Community Very Dissatisfied	DissatisfiedSense of Community Dissatisfied	NeutralSense of Community Neutral	SatisfiedSense of Community Satisfied	Very SatisfiedSense of Community Very Satisfied
Overall Experience	Very DissatisfiedOverall Experience Very Dissatisfied	DissatisfiedOverall Experience Dissatisfied	NeutralOverall Experience Neutral	SatisfiedOverall Experience Satisfied	Very SatisfiedOverall Experience Very Satisfied

What was your favorite part of the event?

or event part

What would you improve for future gatherings?

Any additional thoughts or reflections?

Event Photos

Drag & Drop Files, Choose Files to Upload You can upload up to 20 files.

We’d love some images of your time at the event that we can share.

Submit