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To be completed by the participant with assistance if required.

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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

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* 3. Please give the time of your session

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

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* 5. Please explain why you feel this way.

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

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* 7. Please explain why you feel this way

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* 8. Please can you tell us how could we improve your time here today?

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* 9. Is there anything else you would like to tell us about today?

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