LGFB Workshop Participant Evaluation
RequiredRequired Question(s)
 
Thank you for attending a Look Good Feel Better (LGFB) workshop. To help us improve the LGFB program, please complete this brief survey. It should take 5-10 minutes to complete. The information you provide in the survey will not be given or sold to any other organization. Thank you!
 
Your Look Good Feel Better Experience:
 
Required 1.
How would you rate your satisfaction level as it relates to what you learned in the LGFB workshop?
Very Satisfied
Somewhat Satisfied
Neutral
Somewhat Dissatisfied
Very Dissatisfied
  • Comment:

  • 500 characters left.
Required 2.
How would you rate the value of this program in restoring your sense of self?
Very Valuable
Somewhat Valuable
Neutral
Of Little Value
No Value
  • Comment:

  • 500 characters left.
Required 3.
How would you rate your confidence level with your appearance after experiencing the Look Good Feel Better workshop?
Very Confident
Somewhat Confident
Neutral
Not very Confident
Not at All Confident
Required 4.
How would you rate your confidence level with your appearance before attending the LGFB workshop?
Very Confident
Somewhat Confident
Neutral
Not very Confident
Not at All Confident
Required 5.
Please rate the degree to which you agree or disagree with each of the following statements.
 Strongly Agree Somewhat Agree Neither Agree or Disagree Somewhat Disagree Strongly Disagree 
I felt supported by the volunteers.
My appearance makes me feel more confident.
Sometimes you only feel as good as you look.
I would recommend Look Good Feel Better to other women with cancer.
  • Comment:

  • 500 characters left.
Required 6.
How satisfied were you with the following?
 

 Very Satisfied Satisfied Neither Satisfied nor Dissatisfied Dissatisfied Very Dissatisfied N/A 
Registration process for the workshop
Your ability to find and access the workshop
Organization of the workshop
Group format of the workshop
Knowledge of the industry professional volunteers
Professionalism of the volunteers
Product training tools
LGFB Signature Steps Guide
Required 7.
How useful was the information provided in the LGFB workshop on each of these topics?

 Very Useful Useful Of Little Use Not Useful N/A 
Skin Care
Makeup
Wigs
Head Coverings
Nail Care
  • Comment:

  • 500 characters left.
Required 8.
How did you hear about Look Good Feel Better?

Medical professional (doctor, nurse, social worker)
Friend or relative
Media (magazine ad, television, radio)
Website (LGFB or other website)
Hairdresser (or stylist)
Another patient
Another cancer support organization (if so, please specify in below comments)
Other  
  • Comment:

  • 500 characters left.
About You:
 
Required 9.
Please select your age range:
13 - 17
18 - 29
30 - 39
40 - 49
50 - 59
60 - 69
70 - 79
80 - 89
Prefer not to answer
Required 10.
What is your ethnic background?

Caucasian
Chinese
South Asian (for example, East Indian, Sri Lankan, etc.)
Black
Filipino
Latin American
Southeast Asian (for example, Vietnamese, Cambodian, etc.)
Arab
West Asian (for example, Iranian, Afghan, etc.)
Japanese
Korean
Aboriginal
Prefer not to answer
Other  
Required 11.
For what type of cancer are you being treated for/have been treated for in the past?

Brain & Other Nervous System
Breast
Colon & Rectum
Hodgkin's Disease
Leukemia
Lung
Lymphoma
Melanoma of the Skin
Multiple Myeloma
Ovarian
Pancreas
Uterine or Endometrial
Prefer not to answer
Other  
12.
Has social media played a role in your cancer journey? i.e. sharing info on Facebook, blogging, or connecting with other women on Twitter?
Yes
No
13.
Would you be interested in sharing your story with LGFB to help us spread the word? If
 so, please leave us your email/contact info in the comment section.
Yes
No
  • Comment:

  • 500 characters left.
If you would like to join our online community, you can follow us on social media @LGFBCanada or visit our blog, Facing Cancer Together, at www.lgfb.ca
 
14.
Additional Comments:
 

350 characters left.