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Social Impact Reporting - Ready steady for adults form

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Social Impact Reporting - Ready steady for adults form

  1. 1. Ready Steady for adults Form EVALUATION FORM Please tell us how this activity has impacted on your health and wellbeing. Name: Date: Please circle number: Overall how do you rate your physical health 1 2 3 4 5 6 7 and wellbeing before the course? Overall how do you rate your physical health 1 2 3 4 5 6 7 and wellbeing since doing the course? Overall, how do you rate your mental health 1 2 3 4 5 6 7 and wellbeing before doing the course? Overall, how do you rate your mental health 1 2 3 4 5 6 7 and wellbeing since doing the course? Do you believe your health has improved with reference to: Yes No Don’t know • Alcohol awareness • Smoking awareness Has the HALE course affected you in any of the following ways? Please tick Yes No Don’t know Do you feel more confident about cooking your own food, since being on this course? Are you aware of eating more healthily since attending this course? Do you feel more informed about salt intake? Has the course given you any new ideas of healthy snacks? Has the course had a positive impact on your family’s health? Do you think twice about cooking your own food rather than buying a takeaway? Has the course increased your self esteem? Are you motivated to continue to improve your health? Please tick 3 significant changes you have made / learnt as a result of attending this course 1. 2. 3.
  2. 2. To help us ensure that we are supporting people in as full a way as possible, please fill the scores inbelow.Before the course On a scale of 1-7 please circle the score that best describes how you feel since attending this course. Unhappy 1-----2-----3------4------5------6------7 Happy Stressed 1-----2-----3------4------5------6------7 Calm / relaxed Out of control of my emotions 1-----2-----3------4------5------6------7 in control of my emotions Lack of motivation 1-----2-----3------4------5------6------7 motivated No self confidence 1-----2-----3------4------5------6------7 Confident Unable to cope with problems 1-----2-----3------4------5------6------7 coping with problems Don’t look after myself 1-----2-----3------4------5------6------7 able to look after myself I don’t relate well to people 1-----2-----3------4------5------6------7 I relate well to people I don’t feel informed about health issues 1-----2-----3------4------5------6------7 I feel informed about health issuesAfter the course On a scale of 1-7 please circle the score that best describes how you feel since attending this course. Unhappy 1-----2-----3------4------5------6------7 Happy Stressed 1-----2-----3------4------5------6------7 Calm / relaxed Out of control of my emotions 1-----2-----3------4------5------6------7 in control of my emotions Lack of motivation 1-----2-----3------4------5------6------7 motivated No self confidence 1-----2-----3------4------5------6------7 Confident Unable to cope with problems 1-----2-----3------4------5------6------7 coping with problems Don’t look after myself 1-----2-----3------4------5------6------7 able to look after myself I don’t relate well to people 1-----2-----3------4------5------6------7 I relate well to people
  3. 3. I don’t feel informed about health issues 1-----2-----3------4------5------6------7 I feel informed about health issuesWhat did you like most about this course?What did you like least about this course? Thank you for taking time to complete this evaluation. It is very important to us and will contribute to improving the way HALE delivers its activities

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