Your feedback is really important to us. Please take a moment to complete the questionnaire. Many thanks. Name(Required) First Last Email Menopause Cafe location(Required) Date of Cafe(Required) DD slash MM slash YYYY Start Time Hours : Minutes AM PM DurationPlease enter a number from 30 to 240.length in minutesVenue Total number of participantsPlease enter a number greater than or equal to 0.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.Age range of participants Did you enjoy hosting a Menopause Cafe?Why did you decide to host/facilitate a Menopause Café?Would you host another? Yes No Other 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. Lastly, many thanks for being part of the Menopause Café movement & helping us to create even more spaces for conversations about menopause! Δ
