HP Feedback Survey

Health Promotion Feedback Survey

The purpose of this feedback survey is to ensure that BANA is delivering educational and meaningful content to the community. Please complete the following Questions in order for us to continuously improve.

First Name (optional)

Last Name (optional)

1. School/Program (optional)

2. Please select the type of presentation viewed

Nutrition (JK - Grade 4)

Self-Esteem & Body Image (Grade 5 - 8)

Sizing Up The Media (Grade 9 - 12)

Other (Please specify below)

Other Presentation type:

Please rate your agreement with the following statements, where 1 = Strongly Disagree and 10 = Strongly Agree.

6. If you had a positive experience, please consider leaving a testimonial below

Please answer the following with as much detail as you feel comfortable sharing.

7. What, if anything, would you suggest to improve this presentation in the future?

8. Would you book this presentation in the future?

Yes

10. Are there any follow-up questions from the students that we can answer?

11. Are there other tools that would be helpful to you that BANA could support with in the future?

12. Your feedback is incredibly valuable. We sometimes use anonymous or attributed quotes from attendees to promote future presentations. Do you consent to your written feedback and/or comments from this form being used in promotional materials (e.g., website, flyers, social media) for future presentations?

Yes

13. If you answered "Yes" to the question above, please indicate how you would allow your feedback to be used in a testimonial:

I consent to my feedback being used and attributed with my name (e.g., "Jane D. Smith, Attendee")

I consent to my feedback being used anonymously (e.g., "A presentation attendee")

I prefer not to have my feedback used in a testimonial.

14. If you would like to be attributed, please provide your Name (Optional):

15. If you would like to be attributed, please provide your Title/Affiliation (Optional, e.g., Student, Teacher, Community Member)