FIRST NIGHT SURVEY FORM
DBSA AURORA

PLEASE, take time to answer these few questions AFTER THE MEETING.

This information will help us gather data to evaluate our efforts for a new attendee’s first night being at our support group meeting.

Thank you,

DBSA Aurora

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Group Leader & Contact: ______________________________

1. Was the ‘Group Guidelines’ given to you BEFORE the group meeting started helpful? 
   Circle YES or NO
   

2. Were the introductions of the attendees handled okay?     
   Circle YES or NO
   

3. Was it clear & understood that the discussions are Confidential?   
   Circle YES or NO
   

4. Was it clearly stated or written, that you could ‘JUST LISTEN’ and not share (PASS)? 
   Circle YES or NO
   

5. How was the group ‘Sharing Session’? Circle one of the following please:   
   Overwhelming             About Right                  Not Enough
   

6. At the end of the meeting did you feel?   
   Very Comfortable      Comfortable     Uncomfortable       Very Uncomfortable
   

7. Do you think you will come back next week?         
   YES     NO     NOT SURE

AFTER FILLING OUT THE FORM PLEASE RETURN IT TO THE FACILITATOR OF THE GROUP LEADER, BEFORE LEAVING TONIGHT!

Any additional comments you might have would be appreciated: