Beneficiary Feedback Form | An hour for others

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Feedback form

Date of birth (optional)

What support did you or your child receive from An Hour For Others?

Please explain in as much detail how the support or activity helped you or a family member/s.

The support I received from An Hour For Others made a positive impact in my life.

1 - Strongly Disagree

2 - Disagree

3 - Undecided

4 - Agree

5 - Strongly Agree

The support of An Hour For Others helps my physical and/or mental health

1 - Strongly Disagree

2 - Disagree

3 - Undecided

4 - Agree

5 - Strongly Agree

I was really satisfied with the support from An Hour For Others

1 - Strongly Disagree

2 - Disagree

3 - Undecided

4 - Agree

5 - Strongly Agree

I feel the on going support of An Hour For Others will help me/my family in the future

1 - Strongly Disagree

2 - Disagree

3 - Undecided

4 - Agree

5 - Strongly Agree

Do you have any suggestions regarding An Hour For Others activities and services?

If you answered yes above please explain what you would like to suggest.

A healthy lunch was provided at each activity

1- Strongly Disagree

2 - Disagree

3 - Undecided

4 - Agree

5 - Strongly Agree

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