You can always press Enter⏎ to continue
Welcome!
Hi there, please share insights and submit this form. Your honest feedback helps us to be better!
11
Questions
START
1
1. Name of Event/Workshop/Consultation/Coaching/Check-in/Meeting/Strategy Session, etc.
*
This field is required.
Previous
Next
Submit
Press
Enter
2
2. Please indicate how well the session or event met the following objectives:
*
This field is required.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
ENCOURAGED
Row 0, Column 0
Row 0, Column 1
Row 0, Column 2
Row 0, Column 3
Row 0, Column 4
ENGAGED
Row 1, Column 0
Row 1, Column 1
Row 1, Column 2
Row 1, Column 3
Row 1, Column 4
CHALLENGED
Row 2, Column 0
Row 2, Column 1
Row 2, Column 2
Row 2, Column 3
Row 2, Column 4
EDUCATED
Row 3, Column 0
Row 3, Column 1
Row 3, Column 2
Row 3, Column 3
Row 3, Column 4
ENLIGHTENED
Row 4, Column 0
Row 4, Column 1
Row 4, Column 2
Row 4, Column 3
Row 4, Column 4
TRANSPARENT
Row 5, Column 0
Row 5, Column 1
Row 5, Column 2
Row 5, Column 3
Row 5, Column 4
DEFINED ACTION STEPS/TAKEAWAYS
Row 6, Column 0
Row 6, Column 1
Row 6, Column 2
Row 6, Column 3
Row 6, Column 4
ENCOURAGED
ENGAGED
CHALLENGED
EDUCATED
ENLIGHTENED
TRANSPARENT
DEFINED ACTION STEPS/TAKEAWAYS
Strongly Agree
Row 0, Column 0
Agree
Row 0, Column 1
Neutral
Row 0, Column 2
Disagree
Row 0, Column 3
Strongly Disagree
Row 0, Column 4
Strongly Agree
Row 1, Column 0
Agree
Row 1, Column 1
Neutral
Row 1, Column 2
Disagree
Row 1, Column 3
Strongly Disagree
Row 1, Column 4
Strongly Agree
Row 2, Column 0
Agree
Row 2, Column 1
Neutral
Row 2, Column 2
Disagree
Row 2, Column 3
Strongly Disagree
Row 2, Column 4
Strongly Agree
Row 3, Column 0
Agree
Row 3, Column 1
Neutral
Row 3, Column 2
Disagree
Row 3, Column 3
Strongly Disagree
Row 3, Column 4
Strongly Agree
Row 4, Column 0
Agree
Row 4, Column 1
Neutral
Row 4, Column 2
Disagree
Row 4, Column 3
Strongly Disagree
Row 4, Column 4
Strongly Agree
Row 5, Column 0
Agree
Row 5, Column 1
Neutral
Row 5, Column 2
Disagree
Row 5, Column 3
Strongly Disagree
Row 5, Column 4
Strongly Agree
Row 6, Column 0
Agree
Row 6, Column 1
Neutral
Row 6, Column 2
Disagree
Row 6, Column 3
Strongly Disagree
Row 6, Column 4
1
of 7
Previous
Next
Submit
Press
Enter
3
3. Rate the effectiveness of the session(s) or event.
*
This field is required.
1
2
3
4
5
1 star = Not Effective; 5 stars = Highly Effective
Previous
Next
Submit
Press
Enter
4
4. I had the opportunity to learn or explore new tips, tools, resources, or strategies.
*
This field is required.
1
2
3
4
5
No Progress
Exceptional Progress
Previous
Next
Submit
Press
Enter
5
5. I better understand a leadership approach, strategy, or action step going forward.
*
This field is required.
1
2
3
4
5
No Progress
Exceptional Progress
Previous
Next
Submit
Press
Enter
6
6. What did you appreciate most about the structure of the session or event?
*
This field is required.
Previous
Next
Submit
Press
Enter
7
7. What about this session can be enhanced or changed for the future?
*
This field is required.
Previous
Next
Submit
Press
Enter
8
8. As a result of this session, I plan to…
*
This field is required.
Previous
Next
Submit
Press
Enter
9
9. Level of overall satisfaction with consultant, speaker, facilitator, trainer, coach, etc.
*
This field is required.
1
2
3
4
5
1 star = Not Satisfied; 5= Highly Satisfied
Previous
Next
Submit
Press
Enter
10
10. Share a Recommendation, Testimonial, Impact Statement, or Kudos!
A positive reflection, takeaway, or impact about the experience or session
Previous
Next
Submit
Press
Enter
11
11. Thank you! Any additional comments, needs, ideas or topics for the future?
Share anything!
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
11
See All
Go Back
Submit