Eight-week mindfulness course survey

Thank you for taking the time to complete this evaluation survey. By completing the survey, we hope to get your feedback to evaluate the outcomes of the eight-week mindfulness course and with the feedback, look to continue the offering of mindfulness in the future for others with MS.

The survey should take around ten minutes to complete.

How would you rate the quality of the mindfulness course? (Please tick one of the following)

Excellent	Very good	Good	Satisfactory	Poor
ExcellentItem #1 Excellent	Very goodItem #1 Very good	GoodItem #1 Good	SatisfactoryItem #1 Satisfactory	PoorItem #1 Poor

Comments

How would you rate the course facilitator for the course? (Please tick one of the following)

Excellent	Very good	Good	Satisfactory	Poor
ExcellentItem #1 Excellent	Very goodItem #1 Very good	GoodItem #1 Good	SatisfactoryItem #1 Satisfactory	PoorItem #1 Poor

Comments

What have you enjoyed most about the mindfulness course?

What have you enjoyed least about the mindfulness course?

Was the eight-week Mindfulness Based Stress Reduction (MBSR) course helpful to you?

Very helpful	Helpful	Neither helpful nor unhelpful	Not helpful	Extremely unhelpful
Very helpfulItem #1 Very helpful	HelpfulItem #1 Helpful	Neither helpful nor unhelpfulItem #1 Neither helpful nor unhelpful	Not helpfulItem #1 Not helpful	Extremely unhelpfulItem #1 Extremely unhelpful

Please explain the benefits and how it may or may not have been helpful for you?

Has mindfulness changed the way you relate to MS, deal with the symptoms of your MS, or how you relate to life in general?

Yes	No	Not sure
YesItem #1 Yes	NoItem #1 No	Not sureItem #1 Not sure

If yes, please describe why?

Has the course helped you to maintain or improve your symptoms? (Please tick one)

Improved	Maintained	Declined
ImprovedItem #1 Improved	MaintainedItem #1 Maintained	DeclinedItem #1 Declined

Has the course helped you to feel more positive about yourself and your future? (Please tick one)

Improved	Maintained	Declined
ImprovedItem #1 Improved	MaintainedItem #1 Maintained	DeclinedItem #1 Declined

Has the course helped you to maintain or improve your ability to look after yourself? (Please tick one)

Improved	Maintained	Declined
ImprovedItem #1 Improved	MaintainedItem #1 Maintained	DeclinedItem #1 Declined

Has the course helped you to maintain or improve your participation in work, volunteering, study or any other activities? (Please tick one)

Improved	Maintained	Declined
ImprovedItem #1 Improved	MaintainedItem #1 Maintained	DeclinedItem #1 Declined

If you found mindfulness and learning to meditate beneficial, can you describe in what way? Examples may include sleeping better, pain relief, stress reduction, please describe below.

If the course was not helpful to you, can you describe why?

How could we make the course even better and more relevant for those with MS in the future?

Would you recommend this course to others?

Comments

Please use the space below to provide a testimonial about your experiences and feelings of the course overall. If you are happy for us to share your feedback, please provide your full name and contact details below so our Communications team can contact you.

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Eight-week mindfulness course survey

Please use the space below to provide a testimonial about your experiences and feelings of the course overall. If you are happy for us to share your feedback, please provide your full name and contact details below so our Communications team can contact you.

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