Impact Circle Feedback
Recently you participated in an Impact Circle to address an area of conflict. We'd like to know your thoughts about the process and we appreciate any feedback you can provide. Your answers are anonymous, and will be used to improve our program.
Date of Impact Circle
What was your role in the Impact Circle?
Person who was harmed
Support person for offender (parent, friend)
Support person for victim (parent, friend)
Other person impacted by incident (witness, school representative, SRO, etc.)
Community Representative - Elder
Community Representative - Peer
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