End of Program Participant Feedback Form: 10-Step Program Evaluation
Thank you for participating in Good Grief Network's Program, "10-Steps to Personal Resilience & Empowerment in a Chaotic Climate." We are grateful that you showed up and shared your heart and mind.

We are always improving GGN's step program and your end-of-program feedback is crucial to this process. Please take a few minutes to answer these questions about your recent experience in 10-Step Program.
Sign in to Google to save your progress. Learn more
Participant name (leave blank if you wish to remain anonymous):
What was the date of your 10th Step? *
MM
/
DD
/
YYYY
Who were your facilitators? *
Required
How long have you been aware of the complex predicament/polycrisis?
Did you feel like a brave space was created during each of your sessions?
Clear selection
To what degree do you AGREE or DISAGREE with this statement: Good Grief Network's 10-Step Program Helped Me Think In New/Nuanced Ways About Our Systemic Problems.
Clear selection
To what degree do you AGREE or DISAGREE with this statement: GGN's 10-Step Program Helped Me Identify Meaningful Actions I Can Take In My Life.
Clear selection
To what degree do you AGREE or DISAGREE with this statement: GGN's 10-Step Program Helped Me Feel Empowered To Take Meaningful Action.
Clear selection
To what degree do you AGREE or DISAGREE with this statement: GGN's 10-Step Program Helped Me  Connect To Resources (e.g., articles, films, books, songs, courses, poems).
Clear selection
To what degree do you AGREE or DISAGREE with this statement: GGN's 10-Step Program Helped Me Process Heavy or Painful Emotions (e.g., fear, despair, anger, eco-distress, climate grief, isolation).
Clear selection
To what degree do you AGREE or DISAGREE with this statement: GGN's 10-Step Program Helped Me Speak With Others About Systemic Issues (e.g., climate crisis, capitalism, racism).
Clear selection
To what degree do you AGREE or DISAGREE with this statement: GGN's 10-Step Program Helped Me Learn New Grounding Practices To Help Calm My Nervous System.
Clear selection
To what degree do you AGREE or DISAGREE with this statement: GGN's 10-Step Program Helped Me Grapple With My Complicity In Systems of Oppression.
Clear selection
To what degree do you AGREE or DISAGREE with this statement: GGN's 10-Step Program Helped Me Feel Less Alone & More Connected To Other People.
Clear selection
To what degree do you AGREE or DISAGREE with this statement: GGN's 10-Step Program Helped Me Reconnect With Myself.
Clear selection
To what degree do you AGREE or DISAGREE with this statement: GGN's 10-Step Program Helped Me Reconnect With the More-Than-Human World.
Clear selection
Did anything (either on your end or the end or the facilitation team) keep you from fully engaging in the program?
In what ways do you engage with Good Grief Network?
What is your main takeaway from participating in the 10-Step Program?
What would you like to see more of in the 10-Step Program?
Are there any areas where your facilitators did particularly well?
Are there any areas of improvement that you would suggest for your facilitators?
What skills are you using to cope with the planetary and systemic predicament?
Are you interested in joining a GGN monthly alumni program to further support your growth, courage, and meaningful action? If so, what offerings would be meaningful to you?
If you've been positively impacted by your participation in GGN's 10-Step Program, please write a testimonial that we can include on our website/marketing materials.
Is there anything else bubbling up for you about your experience in the 10-Step Program that you'd like to share with us?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy