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OhioGuidestone Research Portal
Toggle Navigation
Toggle Navigation
Home
About
Media Release Forms
Joyful Together®
Joyful Together® Follow-up
Father’s Feelings
Fathers Feelings Follow-up Interview Study
CareSource Project Forms
The Maternal Vitality Study
Maternal Vitality Study- For Women/Mothers
MVS Clinician Form
Staff Forms
PFS-2-Staff
Staff Joyful Together® Fidelity Tool
Supervisor Fidelity Process Guidance Tool
Clinical Note
Intervention Note
Closing Note
Student Intern Evaluation Projects
Initial Intern Evaluation Project Information Form & Agreement
Updated Intern Evaluation Project Form
DaddYoga Post Session Survey
Return to Main DaddYoga Page
Post Survey: DaddYoga Survey Study
This form is for fathers participating in the DaddYoga Survey Study. Fathers should complete this form after each DaddYoga series between July-December 2022.
Please enable JavaScript in your browser to complete this form.
Date / Time
Date
Time
Father's Name
*
First
Last
Note: We will remove your name and replace it with a de-identified Study ID number to add privacy.
This is my first time DaddYoga session.
Yes
No
How are you feeling? (check all that apply)
Depressed
Upset
Tired
Neutral
Relaxed
Excited
Joyful
How do you feel about participating in Daddyoga? (check all that apply)
Depressed
Upset
Tired
Neutral
Relaxed
Excited
Joyful
DaddYoga has helped:
Improve how my body feels
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Improve my thoughts, feelings and actions
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Understand or identify my emotions
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
To manage my stress
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
To understand that body, thoughts, feelings and actions are connected
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
To express my emotions safely
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
My relationship with my child
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
My relationship with my family
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
My spiritual/religious beliefs
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
My confidence in myself
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
My confidence as a father
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
DaddYoga sessions:
Are a safe place to express my emotions
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Are a positive environment for fathers
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
DaddYoga has taught me:
That being a father is being a leader
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The importance of using good communication skills with my co-parent (ex. mom of baby)
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
How to improve my general communication of my thoughts and feelings
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Ways to positively impact my family
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
About being a Cycle Breaker
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
How to break negative or harmful cycles in my family
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
That I can create, or keep, new and positive cycles in my family
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Describe your favorite part of the session:
Describe your LEAST favorite part of the session:
If you could change one thing about the session, what would it be?
If ongoing yoga classes were offered in Stark or Summit Counties for men, or fathers & children, would you be interested?
Yes
No
If you attended a weekly yoga class, what days and times would you participate? (Check all that apply)
Sunday Morning
Monday Evening
Tuesday Evening
Wednesday Evening
Thursday Evening
Friday Evening
Saturday Morning
Other
Other
Would you tell other fathers about DaddYoga?
*
Yes
No
Is there anything else you want us to focus on during DaddYoga?
Submit