Living Life to the Full
Participant #
Post-course Questionnaire
Your input is important to evaluate and improve the Living Life to the Full course. Please take a
few moments to fill in this questionnaire. This information will help us measure the impact of the
course.
We will take great care with the information you provide us. No personal or identifying information
will be shared with others. Completing this survey is entirely voluntary and anonymous. We
appreciate the time you take to complete it.
THE COURSE:
Course start date:
Facilitator(s):
CMHA branch/organization delivering the course:
LOOKING BACK ON THE COURSE AS A WHOLE
1.
Overall, how useful was the course to you?
Not useful
2.
Yes
Moderately useful
Quite useful
Extremely useful
Would you recommend the course to someone else?
No
3.
Are there particular concepts/skills that you learned in the course that you find especially
helpful?
Yes
No
If yes, please specify:_____________________________________
4. How do you rate your facilitator’s knowledge of the course content?
Name: _____________
Very poor
Poor
Fair
Good
Very good
Name: _____________
Very good
Very poor
Poor
Fair
Good
5. How do you rate your facilitator’s ability to facilitate discussion and create a supportive
learning environment, including managing challenges that may have been encountered during
the course?
Name: _____________
Very poor
Poor
Fair
Good
Very good
Name: _____________
Very poor
Good
Very good
6. Overall, how do you rate your experience with your course facilitator?
Name: _____________
Very poor
Poor
Fair
Good
Very good
Name: _____________
Very good
Very poor
Poor
Poor
Fair
Fair
Good
7. Do you have any suggestions for how the course could be improved? (For ex: course content,
facilitation, facilities, timing, a population we should be reaching, etc.)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
Please provide any other comments about how the course has impacted your life or well-being
(please note, we may publish comments in promotional materials, with any identifying information
removed)
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Below are statements about thoughts and feelings. Please tick ONE box that best describes your
experience of each statement over the last two weeks. Thank you!
None
of the
time
Rarely
Some
of the
time
Often
All the
time
For
staff
use
1. I’ve been feeling optimistic about the future
2. I’ve been feeling useful
3. I've been feeling relaxed
4. I’ve been feeling interested in other people
5. I've had energy to spare
6. I’ve been dealing with problems well
7. I've been thinking clearly
January 2014
2
8. I’ve been feeling good about myself
9. I’ve been feeling close to other people
10. I've been feeling confident
11. I’ve been able to make up my own mind
about things
12. I’ve been feeling loved
13. I’ve been interested in new things
14. I've been feeling cheerful
The Warwick-Edinburgh Mental Well-being Scale (WEMWBS) © NHS Health Scotland, Warwick and Edinburgh Universities, 2006. All rights reserved.
January 2014
3