Have your say! BEFORE OHANA Pre-Program Survey Form Name * First Name Last Name Email * How often do you engage in physical activity with your family members, including both children and caregivers? * Daily Weekly Monthly Rarely Never On a scale of 5 to 1, how connected do you feel to your family members or caregivers? * 5 (Extremely connected) 4 3 2 1 (Not at all connected) How would you rate your current mental health? * Excellent Good Fair Poor Very Poor On a scale of 5 to 1, how physically active do you consider your family? * 5 (All extremely active & consistent) 4 (All occasionally but not consistently) 3 (A few are active) 2 (One or two are active) 1 (No one is regularly active) How do you think participating in a family movement program will impact your family’s overall wellbeing? * Is there anything specific you hope to gain from participating in this program? * Any additional comments or feedback you'd like to share: Thank you! AFTER OHANA Post-Program Feedback Form Name * First Name Last Name Email * Has your sense of connection with your family members or caregivers changed since participating in the program: * Improved significantly Improved moderately Not changed Declined moderately Declined significantly Did participating in the program have any positive impact on your mental health? * Yes, significantly improved Yes, moderately improved No improvement Negatively impacted I'm not sure How has your family’s physical health improved, if at all, since participating in the program? * Significantly improved Moderately improved No change Negatively impacted I'm not sure How likely are you to continue practicing the activities learnt in the program with your family in the future? * 5 (Very likely) 4 3 2 1 (Very Unlikely) How likely are you to recommend this program to other families? * 5 (Very likely) 4 3 2 1 (Very unlikely) Why did you answer the previous question the way you did? * In what ways did the program positively contribute to your family’s overall wellbeing? * Were there any challenges or difficulties you faced while participating in the program? If so, please explain * Please share any memorable experiences or moments from the program that strengthened your connection with your family members or caregivers. * What suggestions do you have for improving the program in the future? * Testimonials: Please share your thoughts, experiences, or any feedback you have about the program that may help someone deciding to participate. * Thank you!
