Your feedback is really important to us. Please take a moment to complete the questionnaire. Many thanks. Name(Required) First Last Email Menopause Cafe Name(Required) Date of Cafe(Required) DD slash MM slash YYYY HiddenStart Time Hours : Minutes AM PM AM/PM HiddenDurationPlease enter a number from 30 to 240.length in minutesCafe type(Required) In person Online Workplace Event?(Required) No Yes Number of participants identifying as femalePlease enter a number greater than or equal to 0.Number of participants identifying as malePlease enter a number greater than or equal to 0.Number of participants identifying as otherPlease enter a number greater than or equal to 0.Total number of participantsAge range of participantsPlease put lower and upper limit e.g. 25 – 72 if known Did you enjoy hosting a Menopause Cafe?If this is your first café, please tell us why you decided to host one.HiddenWhy did you decide to host/facilitate a Menopause Café?HiddenWould you host another? Yes No Other HiddenVenue Please include a selection of topics discussed:Anything you would do differently?Any other comments/feedback: The information you provide here will be used to review how Menopause Café is delivered and to evaluate its impact. Any information* you provide will be reported anonymously, and treated in the respectful way it was shared.Consent * Please tick box if you are happy for us to share this information anonymously We would greatly appreciate copies of any photographs that you would like us to share via our social media channels. Please send photos to us at: menopausecafe [at] outlook.com if you have permission of the people in the pictures. Lastly, many thanks for being part of the Menopause Café movement & helping us to create even more spaces for conversations about menopause!
