Evaluation Form – April 15th 2026

Name

First

Last

1: I learned things in this workshop series that I can use

Selected Value: 0

1. Strongly Disagree | 2. Disagree | 3. Neither Agree nor Disagree | 4. Agree | 5. Strongly Agree

2: I have already been using what I learned during this series.

Selected Value: 0

1. Strongly Disagree | 2. Disagree | 3. Neither Agree nor Disagree | 4. Agree | 5. Strongly Agree

3: I was surprised to see how relevant Mindfulness is to these states of mind.

Selected Value: 0

1. Strongly Disagree | 2. Disagree | 3. Neither Agree nor Disagree | 4. Agree | 5. Strongly Agree

4: I would be interested in attending future workshops on additional states of mind.

Selected Value: 0

1. Strongly Disagree | 2. Disagree | 3. Neither Agree nor Disagree | 4. Agree | 5. Strongly Agree

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5: Mental health services should include this type of training.

Selected Value: 0

1. Strongly Disagree | 2. Disagree | 3. Neither Agree nor Disagree | 4. Agree | 5. Strongly Agree

6: The sessions should be increased from 1 hr. to 1 1⁄2 hrs.

Selected Value: 0

1. Strongly Disagree | 2. Disagree | 3. Neither Agree nor Disagree | 4. Agree | 5. Strongly Agree

7: I am practicing mindfulness daily or almost daily.

Selected Value: 0

1. Strongly Disagree | 2. Disagree | 3. Neither Agree nor Disagree | 4. Agree | 5. Strongly Agree

8: The presenter was effective in linking challenging states of mind to Mindfulness.

Selected Value: 0

1. Strongly Disagree | 2. Disagree | 3. Neither Agree nor Disagree | 4. Agree | 5. Strongly Agree

9: I like paying by donation vs. a fixed fee.

Selected Value: 0

1. Strongly Disagree | 2. Disagree | 3. Neither Agree nor Disagree | 4. Agree | 5. Strongly Agree

10: Additional challenging states of mind that I would like to see covered.

Selected Value: 0

1. Strongly Disagree | 2. Disagree | 3. Neither Agree nor Disagree | 4. Agree | 5. Strongly Agree

Additional challenging states of mind that I would like to see covered

Additional comments