AFA Teal Room Survey Name* First Last Email* What state do you live in?* AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Title of Virtual Community Class* Did you enjoy this program?*How were you feeling before participating in this program?* Happy Energetic Relaxed Refreshed Neutral Sad Stressed Anxious Lonely How did this program impact you?* Improved mood Brought joy Helped with relaxation/stress relief More energetic/refreshed Had no positive impact Are you satisfied with the length of the program you participated in?* Yes, I am satisfied It should be longer It should be shorter What type of activities interest you?* Educational Health/Wellness Fitness Music Art Dance/Movement Drama Nature-based Relaxation Performances Select all that applyHow did you hear about the AFA Teal Room?* Through AFA Saw a news story From a relative/friend From another organization Additional comments/feedback
AFA Teal Room Survey Name* First Last Email* What state do you live in?* AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Title of Virtual Community Class* Did you enjoy this program?*How were you feeling before participating in this program?* Happy Energetic Relaxed Refreshed Neutral Sad Stressed Anxious Lonely How did this program impact you?* Improved mood Brought joy Helped with relaxation/stress relief More energetic/refreshed Had no positive impact Are you satisfied with the length of the program you participated in?* Yes, I am satisfied It should be longer It should be shorter What type of activities interest you?* Educational Health/Wellness Fitness Music Art Dance/Movement Drama Nature-based Relaxation Performances Select all that applyHow did you hear about the AFA Teal Room?* Through AFA Saw a news story From a relative/friend From another organization Additional comments/feedback
