Tea With a Pony Session Survey (V2 October 2022)

To be completed by the participant with assistance if required - question 7 and 8 are specifically for the carer or family member to fill out.

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* 1. Which RDA Group are you attending for this session?

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* 2. Please give the date of your session

Date

Date

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* 3. How many sessions have you attended

0

1

2

3

4

5

More than 5

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* 4. How are you feeling now, at the start of the session?

Happy

Okay

Unhappy

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* 5. How are you feeling now, after the session?

Happy

Okay

Unhappy

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* 6. Please tell us about today's experience of tea with a pony

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* 7. CARER/FAMILY MEMBER - Please tell us about today's experience of tea with a pony

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* 8. Please indicate here, by providing your contact details, if you would be willing to provide us with further feedback on your Tea with a Pony experience. This will be used to help us develop the sessions further.