ChemWellness Program Survey ChemWellness Program Survey Name (optional) Do you attend ChemWellness currently? Yes No Occassionally Please rank your interest in the following activities: 1 Star 2 Stars 3 Stars 4 Stars 5 Stars 6 Stars 7 Stars 8 Stars 9 Stars 10 Stars Visit MIT Puppy Lab 1 Star 2 Stars 3 Stars 4 Stars 5 Stars 6 Stars 7 Stars 8 Stars 9 Stars 10 Stars Go to a park in the Cambridge area 1 Star 2 Stars 3 Stars 4 Stars 5 Stars 6 Stars 7 Stars 8 Stars 9 Stars 10 Stars Lawn games on Eastman Court 1 Star 2 Stars 3 Stars 4 Stars 5 Stars 6 Stars 7 Stars 8 Stars 9 Stars 10 Stars Guided Breathing Session 1 Star 2 Stars 3 Stars 4 Stars 5 Stars 6 Stars 7 Stars 8 Stars 9 Stars 10 Stars Board Games / LEGO group build session 1 Star 2 Stars 3 Stars 4 Stars 5 Stars 6 Stars 7 Stars 8 Stars 9 Stars 10 Stars Crafts 1 Star 2 Stars 3 Stars 4 Stars 5 Stars 6 Stars 7 Stars 8 Stars 9 Stars 10 Stars Social coffee/tea session Please indicate which days you would like to see wellness activities held on: Monday Tuesday Wednesday Thursday Friday Please indicate what times you would like to see wellness activities offered: 9:00-10:00 AM 10:00-11:00 AM 11:00 AM-12:00 PM 12:00-1:00 PM 1:00-2:00 PM 2:00-3:00 PM 3:00-4:00 PM 4:00-5:00 PM Are there ways that the Department could better advertise future Chemwellness activities? Do you have any suggestions for activities you would like to see offered? Do you have any other feedback you would like to provide on the ChemWellness program? Submit If you are human, leave this field blank.
