Post-Program Survey - Conversation Club & Newcomer Art Program

Please select the name of the Caseworker(Required)
Please indicate the name of the group program(Required)

Please enter the number of Mentees who replied Yes.
Please enter the number of Mentees who replied Yes.
Please enter the number of Mentees who replied Yes.
Please enter the number of Mentees who replied Yes.
Please enter the number of Mentees who replied Yes.
Please enter the number of Mentees who replied Yes.

Please rate the following on a Scale of 1-5

1 = Never
2 = Rarely
3 = Sometimes
4 = Often
5 = Almost Constant

Caseworkers: Enter the average number from all responses in the boxes below.
Express Care
Please enter a number from 1 to 5.
Challenge Growth
Please enter a number from 1 to 5.
Provide Support
Please enter a number from 1 to 5.
Share Power
Please enter a number from 1 to 5.
Expand Possibilities
Please enter a number from 1 to 5.
This field is for validation purposes and should be left unchanged.