1. How many sessions of Coping with the Holidays did you attend?* 1 2 3 2. The person who died was my:* Spouse or Companion Parent or Sibling Child Other 3. The group addressed my questions and concerns about coping with the holidays.* Strongly DISAGREE DISAGREE Neither agree nor disagree AGREE Strongly AGREE Please comment:*4. I will be able to use the ideas and suggestions presented.* Strongly DISAGREE DISAGREE Neither agree nor disagree AGREE Strongly AGREE Please comment:*5. The group leader was skilled in facilitating discussion.* Strongly DISAGREE DISAGREE Neither agree nor disagree AGREE Strongly AGREE Please explain:*6. The co-facilitators' input was helpful (if applicable).* Strongly DISAGREE DISAGREE Neither agree nor disagree AGREE Strongly AGREE Please explain:*7. I had an opportunity to share and ask questions.* Strongly DISAGREE DISAGREE Neither agree nor disagree AGREE Strongly AGREE Please explain:*8. What was most helpful about the group?9. How could the group be improved (ie: inclusion of other topics, group size, etc.)10. Other comments:Your Name (optional): Δ
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