Example interaction diary form

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Example interaction diary form

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What was the interaction?

Your answer

Where was it?

Your answer

Was it successful?

Your answer

What points of friction did you encounter?

Your answer

How did you feel before the interaction?

Negative

1

2

3

4

5

Positive

Clear selection

How did you feel after?

Negative

1

2

3

4

5

Positive

Clear selection

Notes

Your answer

Submit

Clear form

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