End-of-Course Evaluation and Impact Form

Thank you for taking part in the course.

We would like to know what you learnt and how the course helped you.

There are no right or wrong answers. Please tell us what you think.

About you

Title

First Name

Surname

Date

Your confidence

How do you feel now?

Please tick one box for each question.

I can ...

	Not yet	A Little Yes	I can
Speak English with more confidence
Understand simple English conversations
Speak to my GP with more confidence
Ask questions about my health
Understand UK health services better
Make a health appointment
Change or cancel an appointment
Use the NHS App
Read messages from health services
Use online services
Find information about health and wellbeing
Ask for help when I need it
Feel more connected to my community

Has the course helped your English?

How much has your English improved?

A lot

A little

Not yet

I am not sure

What is easier for you now?

Health services

Do you feel more confident speaking to your GP or other health workers?

Yes, much more confident

Yes, a little more confident

No change

I am not sure

Do you understand UK health services better now?

Yes, much better

Yes, a little better

No change

I am not sure

What can you do now that was difficult before?

Digital skills

What difference has the course made?

Please tell us about any positive changes in your life.

Has the course helped you feel more independent?

Yes, a lot

Yes, a little

I am not sure

Has the course helped you feel more able to get help when you need it?

Yes

A little

Community challenges

What are the main problems or challenges for women and families in your community?

Have these challenges changed for you since joining the course?

Yes

A little

Please tell us more:

Service gaps

Are there services that you still find difficult to access?

Yes

I am not sure

If yes, which services?

What services or support do you think are missing in your local community?

Your story

If you would like to, please tell us about one thing that changed for you because of this course.

For example:

"Before the course, I was scared to make a GP appointment. Now I can use the NHS App and make an appointment myself."

I/we give permission for you to collect and store information securely and share as necessary as detailed above as agreed by myself /my family.

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Contact us

We'd love to hear from you.
Please get in touch with us at
hello@blossomantenatal.com

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