SayPro Survey Feedback Collection Form

SayPro Survey Feedback Collection Form

Section 1: Participant Information

1. Full Name (Optional): __________________________________________
2. Email Address (Optional): _______________________________________
3. Age Group:
   ☐ Under 18 ☐ 18–24 ☐ 25–34 ☐ 35–44 ☐ 45+
4. Location (City/Country): _________________________________________
5. Occupation/Role (e.g., Student, Educator, Professional): ________________

---

Section 2: Survey Experience

6. Which SayPro survey did you complete?
7. How would you rate your overall experience with the survey?
   ☐ Excellent ☐ Good ☐ Fair ☐ Poor
8. Was the survey easy to understand and complete?
   ☐ Yes ☐ No ☐ Somewhat
9. How long did it take you to complete the survey?
   ☐ < 5 minutes ☐ 5–10 minutes ☐ 10–20 minutes ☐ 20+ minutes

---

Section 3: Content Relevance & Clarity

10. Were the questions relevant to the topic?
    ☐ Yes ☐ No ☐ Somewhat
11. Were any questions unclear or confusing?
    ☐ Yes ☐ No
    If yes, please specify: _________________________________________
12. Did you feel comfortable answering all questions?
    ☐ Yes ☐ No ☐ Somewhat

---

Section 4: Suggestions & Additional Comments

13. What did you like most about the survey?
14. What would you improve or change?
15. Any other comments or suggestions?

---

Section 5: Consent (Optional)

☐ I agree that SayPro can use my anonymous feedback to improve its services.
☐ I am willing to be contacted for follow-up or future participation.

Signature (if printed): ____________________________  Date: _______________