Hello there! Thank you so much for taking the time to do this. I always want to figure out ways to be a better person, both to those I will never interact with and those I do. Hopefully, this form will help me with the latter.

It is most important that you let me know if I've made you feel uncomfortable or bad/icky at any point. I would really appreciate any advice on how I could avoid doing so in the future.

Other than that I am also happy to receive positive feedback and things you like about me! Or any particularly strong memories you have of me. Some questions that might provide good inspiration: What stands out about me? What could I improve about myself? What first impression did I give?