Request edit access
Thank you for participating in one of our training sessions! We truly hope you had an enjoyable time and were able to learn the importance of Active Listening.

Please fill out this quick survey to let us know how you were able to implement the skills of Active Listening over the past few weeks. It is important for us to have feedback so we can see what's working and what we can improve on.

Follow us @cogwellpenn on Instagram for weekly inspiration and personal testimonials from our student leaders.

Good luck, and thanks again!
Sign in to Google to save your progress. Learn more
Name *
Email *
School *
What student group are you in? (ex. frat, sports team, student group) *
Which one of the below best describes your current status? *
How comfortable are you with talking with your classmates about any issues they're facing at Penn? *
not at all
very much
How comfortable are you talking about mental health with your friends? *
not at all
very much
How comfortable are you seeking help and support from the counseling center? *
not at all
very much
How often do your friends talk with you about the challenges they’re facing? *
When talking with your friends, how confident are you about being a good listener? *
Not Very
Very Much
Based on past experiences, how much do you agree with the following statements? *
Slightly Disagree
Slightly Agree
I’m aware of my own feelings while I’m listening to others
When I talk to others, I pay attention to their unexpressed feelings
When I talk to people, I try to put myself in their shoes
If I have something to say, I talk about it, even if I interrupt someone else
How beneficial did you find the training you attended? *
Not very
Very much
Looking back over the last few weeks, how have the skills you’ve learned at CogWell been useful to you? *
Describe a situation in which you’ve made use of the skills you learned at CogWell’s training. *
Were you able to refer/encourage anyone to find counseling over the last weeks? *
Would you be interested in bringing more CogWell events your club? *
Would you be interested in joining the CogWell club? *
Would you recommend this training to your friends/classmates/peers? *
Not at all
Please provide your VENMO account name for a $5 payment for taking this survey. Thank you! *
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy