Jack Talks Audience Survey

Thank you for taking the time to provide us with feedback on the recent Jack Talk you attended.  This information will help us to build and refine the program. It should only take a few minutes. 


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Using the scale provided please indicate how strongly you agree or disagree with each of the following statements. 
1 = Strongly Disagree      2 = Somewhat Disagree      3 = Neutral      4 = Somewhat Agree      5 = Strongly Agree
1 2 3 4 5
Please answer ONE of the following three questions. If you'd like to answer them all, feel free to do so!



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Almost there!



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*Note: this is not a place for personal disclosure of suicidal thoughts or behaviours. If you are in crisis, please call 911 or go to your nearest emergency department for assistance.