Programming Feedback

Please fill out the form below for each session of Single MOMM program you are leading or helping to lead as part of the Single MOMM local programming team. This form should be filled out soon after the session is held to retain important feedback and information.

For example: If you are facilitating The reVIVE Course, please fill out one of these each session.

Your Name

First Name

Last Name

Single MOMM Location

Grand Traverse

Wexford/Missaukee

Benzie/Leelanau

Holland/Zeeland

Headquarters

Name of Program/Class/Event and Session Number or Title

For Example: Inside Out Parenting Class Teaching Session 2 OR The reVIVE Course Session 8 Forgiveness

Date of this Specific Session/Class

MM

DD

YYYY

What went right?

What went wrong?

What was confusing?

What was missing?

Is there anything else you want the Program Development Team to know about your experience with this specific session of this program?