Healing Spaces Survey Name (optional) First Last Please tell us which group you attend:(Required) Bright Brunch (female) Light Lounge (male) Please indicate your level of agreement with the following statements:(Required)Strongly disagreeDisagreeNeutralAgreeStrongly agreeI am satisfied with the format of the group.I have enough time to discuss my concerns.I feel supported by the group.The topics discussed in the group are relevant to me.I feel safe sharing my experience.I prefer a group with only 8-10 members.I prefer a group with others in the same stage of illness as my partner/spouse.I like being a group with people who are experiencing different stages of the illness.I prefer an open group (no limit to how many can join), even if gets large, with opportunities for smaller breakouts.I prefer a same gender groupWhat topics or themes would you like to see discussed in the group?(Required)My preference for frequency of meetings is:(Required) Monthly Twice a month (every other week) Other What day of the week do you prefer to meet? (please mark all that apply)(Required) Monday Tuesday Wednesday Thursday Friday Saturday Sunday What time of the day is best for you to meet?(Required) What is most helpful about the group?(Required)What could be done to improve the group?(Required)Would you be interested in providing a short testimonial for the group?(Required) Yes No Name(Required) First Last Δ
