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Personal Development Tool Box Survey!

Please do it today!

This survey should take about 5 to 10 minutes to complete.....

Help Us Help Others!

Overview.....

The aim of this questionnaire is to create a personal development tool box of courses and activities that SomerVille residents have experienced and believe to have been a valuable contribution to their life journey, and recommend to others. (This tool box will be posted on the SomerVille website in a new Self Awareness page and will assist SomerVille residents to develop the behavioural tools required to live life congruent with the SomerVille values).

The information you provide in this survey will only be posted on the SomerVille Website if you consent to being contacted for more information about your experience in this course or activity. As this is the case you only need to fill out the survey for courses or activities in which you do consent to being contacted.

Please complete one survey for each course or activity you have done (i.e. if you have done two courses then fill out this survey twice, one for each course).

1. Personal Information
 

Email address:

Phone Number:

Surname:

First Name:

 

2. Course Details

 

Date you did the course or activity:

Name of the course or activity:

Course or activity description:

(50 words max / 300 characters)

 

Experience Testimonial :

(speaking in the first person of your own experience, how did this course influence you, what would you recommend about this course? 300 words max / 2000 characters)

 

Course or activity providers contact name:

Course or activity providers contact number:

Course or activity providers contact email:

Course or activity providers website:

Do you consent to SomerVille residents interested in your experience in this course/activity contacting you for more information.

Preferred contact method (please make sure this information is filled out under section 1. Personal Information)

 

3. Other Feedback

Any additional feedback, comments or thoughts about this survey:

 

 


The SomerVille Vision:

"A vibrant village where community flourishes, in which every person is supported and contributes
in balance with a sustainable
ecological ethic."

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