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“CHAI Honours” - Recognition Tree Certificate Form
Thank you for taking the time to acknowledge someone within our community that embodies the LBHH&WR “CHAI” Values!!!
In order to qualify for recognition through this program,
the submission must include an individual and an observed behaviour and/or outcome that exemplifies our Mission, Vision or Values (CHAI)
.
Submissions are limited to one per person per month.
Please provide us with your Recognition Certificate's details by entering the information in the fields below.
Form details will be directly copied over to the certificate. Please spell/grammar/name check accordingly!
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Your Name:
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Your answer
Recipient Name:
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Your answer
Recipient was observed exemplifying:
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Person Centred Care
Quality, Safety & Innovation
Jewish Values & Traditions
Centre of Excellence
Leaders in Healthcare
Caring
Health, Safety & Wellness
Accountability
Integrity
Please describe a specific situation the recipient embodied this value:
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Your answer
When did the situation take place?
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Your answer
What happened?
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Your answer
What did the recipient do?
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Your answer
What was the outcome?
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Your answer
How did it make you feel?
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Your answer
What did you want to say to the recipient?
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Your answer
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