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Restorative Services Feedback Form
Please enable JavaScript in your browser to complete this form.
Full Name
*
First
Middle
Last
Email Address:
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Contact Number:
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Organization:
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Department:
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Role:
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Seniority:
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Date / Time
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Name of the Restorative Service Facilitator:
*
Maanwi Sharma
Please rate your overall well-being after the restorative services:
Very low
Low
Neutral
High
Very high
How effective were the coping strategies provided during the restorative services in managing your stress levels?
*
Not effective
Slightly effective
Moderately effective
Very effective
Highly effective
Did you notice an improvement in your work-life balance following the restorative services?
*
Yes
No
How supportive did you find the restorative services in addressing your specific challenges?
*
Not supportive
Slightly supportive
Moderately supportive
Very supportive
Extremely supportive
Did the Restorative Facilitator explain about the service and what it offers?
*
Yes
No
How would you rate the Restorative Service Facilitator?
*
Poor
Average
Good
Excellent
Would you like to attend more sessions in future?
*
Yes
No
Would you recommend the restorative services to a colleague or friend?
*
Not at all
Unlikely
Neutral
Likely
Definitely
If there any suggestion you like to give kindly write it below.
*
Submit