Name *

First Name

Last Name

1) The overall objectives of the program were met.

5 - Agree Strongly

4 - Agree

3 - Neutral

2 - Disagree

1 - Disagree Strongly

2) My personal goals for this experience were achieved.

5 - Agree Strongly

4 - Agree

3 - Neutral

2 - Disagree

1 - Disagree Strongly

3) The sessions were clear, understandable, and well organized.

5 - Agree Strongly

4 - Agree

3 - Neutral

2 - Disagree

1 - Disagree Strongly

4) The teaching methods were helpful to me.

5 - Agree Strongly

4 - Agree

3 - Neutral

2 - Disagree

1 - Disagree Strongly

5) The facility was comfortable and please (Zoom ;) )

5 - Agree Strongly

4 - Agree

3 - Neutral

2 - Disagree

1 - Disagree Strongly

6) The program was a valuable learning experience.

5 - Agree Strongly

4 - Agree

3 - Neutral

2 - Disagree

1 - Disagree Strongly

7) This experience will be helpful in my personal life.

5 - Agree Strongly

4 - Agree

3 - Neutral

2 - Disagree

1 - Disagree Strongly

8) How often did you do the self-help exercises between sessions?

5 - Every day

4 - Frequently

3 - Occasionally

2 - Almost Never

1 - Never

9) How often did you do the reading in 11 Weeks to Self-Esteem?

5 - Every Day

4 - Frequently

3 - Occasionally

2 - Almost Never

1 - Never

10) How helpful was the workbook (Ten Days to Self-esteem)?

5 - Very Helpful

4 - Helpful

3 - Neutral

2 - Somewhat Unhelpful

1 - Very Unhelpful

11) How helpful were the self-help assignments between sessions?

5 - Very Helpful

4 - Helpful

3 - Neutral

2 - Somewhat Unhelpful

1 - Very Unhelpful

12) How helpful were the discussions during the sessions?

5 - Very Helpful

4 - Helpful

3 - Neutral

2 - Somewhat Unhelpful

1 - Very Unhelpful

13) How helpful were the group exercises?

5 - Very Helpful

4 - Helpful

3 - Neutral

2 - Somewhat Unhelpful

1 - Very Unhelpful

14) How helpful and supportive was the group leader?

5 - Very Helpful

4 - Helpful

3 - Neutral

2 - Somewhat Unhelpful

1 - Very Unhelpful

15) How helpful and supportive were the other group members?

5 - Very Helpful

4 - Helpful

3 - Neutral

2 - Somewhat Unhelpful

1 - Very Unhelpful

16) How helpful was the program in understanding your moods?

5 - Very Helpful

4 - Helpful

3 - Neutral

2 - Somewhat Unhelpful

1 - Very Unhelpful

17) How helpful was the program in learning to change your moods?

5 - Very Helpful

4 - Helpful

3 - Neutral

2 - Somewhat Unhelpful

1 - Very Unhelpful

18) How helpful was the program in developing better self-esteem?

5 - Very Helpful

4 - Helpful

3 - Neutral

2 - Somewhat Unhelpful

1 - Very Unhelpful

19) How helpful was the program overall?

5 - Very Helpful

4 - Helpful

3 - Neutral

2 - Somewhat Unhelpful

1 - Very Unhelpful

25) I felt that I could trust the group leader during the sessions.

0 - Not at All

1 - Somewhat

2 - Moderately

3 - A lot

26) The leader felt I was worthwhile.

0 - Not at All

1 - Somewhat

2 - Moderately

3 - A lot

27) The leader was friendly and warm toward me.

0 - Not at All

1 - Somewhat

2 - Moderately

3 - A lot

28) The leader understood what I said during the sessions.

0 - Not at All

1 - Somewhat

2 - Moderately

3 - A lot

29) The leader was sympathetic and concerned about me.

0 - Not at All

1 - Somewhat

2 - Moderately

3 - A lot

30) Sometimes the leader did not seem completely genuine.

0 - Not at All

1 - Somewhat

2 - Moderately

3 - A lot

31) The leader pretended to like me more than he or she really does.

0 - Not at All

1 - Somewhat

2 - Moderately

3 - A lot

32) The leader did not always seem to care about me.

0 - Not at All

1 - Somewhat

2 - Moderately

3 - A lot

33) The leader did not always understand the way I felt inside

0 - Not at All

1 - Somewhat

2 - Moderately

3 - A lot

34) The leader seemed condescending and talked down to me.

0 - Not at All

1 - Somewhat

2 - Moderately

3 - A lot