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Outcome Criteria- Participant

Participant Self-Rating Scale

Participant Self-Rating Scale

Member Name:             ___________________________________

Session: _______________________________________________

We would appreciate your responses to the following questions to help assist us in our final project as Occupational Therapy students.  Your participation in this survey is strictly optional.  Thank you.

 

 

Not at all

1

Very little

2

Somewhat

3

Very much

4

I enjoyed this activity.

 

 

 

 

I actively participated in the group activity.

 

 

 

 

I learned a lot from today's group.

 

 

 

 

This activity was challenging for me to complete.

 

 

 

 

I was aware of safety precautions during the activity.

 

 

 

 

This activity is beneficial to my health and well-being.

 

 

 

 

I would like to pursue this activity outside of the group.

 

 

 

 

The activities were well planned.

 

 

 

 

The students developed good rapport with the group members during today's session.

 

 

 

 

 

 

 

 

 

Comments:

 

 

 

 

 

Author: valerie klepeis
Last modified: 7/7/2013 5:28 AM (EST)