CISM Feedback Survey

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This form is to better help the CISM team and the services they provide. Your answers are confidential and will only be shared with the Team. You do not have to provide any identifying information unless you choose to.

How did you hear about CISM?

FacRep

Manager

Aviation Event/Conference

CBA

Accident Checklist

Clear selection

What type of contact did you have with CISM?

Grief Counseling

Critical Incident Stress Debriefing

Over the Phone/Email

Event ie: CFS, Convention, etc

Clear selection

Do you feel CISM helped?

Yes

Clear selection

Would you recommend CISM to others?

Yes

Clear selection

If you answered No to any of the above questions, can you please explain why?

Do you have any other comments or recommendations to add?

May we follow up with you? If yes, please provide us with contact information below.

Submit

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