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Confidential Feedback Form
Thank you for your engagement in the PEERS® program with Strivesocial. Your journey with us has been valuable, and we'd appreciate your feedback to help us continue improving our services.
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1.
Which aspects of the program did you/do you find most beneficial?
Weekly sessions
Role play videos
Practice exercises
Homework assignments
Other
Clear selection
2. How would you rate your improvement in the
c
onversation skills?
Significant Improvement
Some Improvement
No Change
Slightly Worse
Much Worse
Clear selection
3. How would you rate your improvement in the
e
lectronic communication
?
Significant Improvement
Some Improvement
No Change
Slightly Worse
Much Worse
Clear selection
4. How would you rate your improvement in the
g
roup interactions
?
Significant Improvement
Some Improvement
No Change
Slightly Worse
Much Worse
Clear selection
5. How would you rate your improvement in handling disagreements
?
Significant Improvement
Some Improvement
No Change
Slightly Worse
Much Worse
Clear selection
6. How would you rate your improvement in overall confidence in social settings
?
Significant Improvement
Some Improvement
No Change
Slightly Worse
Much Worse
Clear selection
7. What real-world improvements have you noticed since starting the program?
Your answer
8. What suggestions do you have for improving the program?
Your answer
9. How likely are you to recommend Strivesocial to others?
Very likely
Somewhat likely
Neutral
Somewhat unlikely
Very unlikely
Clear selection
Your feedback is invaluable and will help us enhance our programs for future clients. Thank you for choosing Strivesocial for your social skills development journey.
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