Sign In
My Account
Welcome
About
About
MCCG™ Framework
Self-Guided Courses
In Your Hands: Gentle Beginnings Grief Guide
Gentle Introduction to Mindful Grief: Videos + Meditations
Masterclass: Mindfuly Navigating Grief for Deep Transformation
Work with me
First Steps in Grief Support
1:1 Grief Guidance
Women Over 50 1:1 Support
The Mindful Grief Pathway
Take My Courses
Speaking Engagements
Grief Support for Organizations
for Providers
End-of-Life Doula Services
Support Groups
JOIN an Upcoming Grief Circle - Mindful Grief Support Group
Resources
PODCAST
Selected WRITINGS
Supporting Grief
Video Blogs
Inspirations
In the Media
Home
Book Your Appointment
Sign In
My Account
Welcome
About
About
MCCG™ Framework
Self-Guided Courses
In Your Hands: Gentle Beginnings Grief Guide
Gentle Introduction to Mindful Grief: Videos + Meditations
Masterclass: Mindfuly Navigating Grief for Deep Transformation
Work with me
First Steps in Grief Support
1:1 Grief Guidance
Women Over 50 1:1 Support
The Mindful Grief Pathway
Take My Courses
Speaking Engagements
Grief Support for Organizations
for Providers
End-of-Life Doula Services
Support Groups
JOIN an Upcoming Grief Circle - Mindful Grief Support Group
Resources
PODCAST
Selected WRITINGS
Supporting Grief
Video Blogs
Inspirations
In the Media
Home
Book Your Appointment
Death Cafe Eval Form
Date you attended Death Cafe
*
MM
DD
YYYY
Overall, how would you rate this event?
5:= Excellent
4 = Good
3 = Neutral
2 = Could be better
1 = Poor
Comment:
Would you say that attending this event affected your feelings about death and / or life? if YES, please attempt to say how:
How comfortable did you feel during the Death Café?
5 = very comfortable
4 =
3 =
2 =
1 = very uncomfortable
Is there anything you can think of that would have made you feel more comfortable?
How well did the structure of the discussion at the Death Café work?
5 = very well
4 =
3 =
2 =
1 = not well at all
Suggestions for improvement:
Overall, how would rate you the facilitation of the event?
5: = excellent
4 =
3 =
3 =
1 = poor
Any suggestions for improvement:
Please choose 3 words which best describe your experience of Death Café:
If someone told you they were thinking of attending a death café what would you say to them?
Do you have any other comments or things you think we should hear?
Name - Optional
First Name
Last Name
Email - Optional
Thanks again for attending and giving us your feedback.