Have you taken part in an Empathy Circle? Your feedback would help us Email address: [ ] Name: [ ] Name of Facilitator: [ ] Topic: [ ] How would you classify yourself politically on economic issues? Conservative ( )1 ( )2 ( )3 ( )4 ( )5 ( ) center ( )6 ( )7 ( )8 ( )9 ( )10 Progressive How would you classify yourself politically on social issues? Conservative ( )1 ( )2 ( )3 ( )4 ( )5 ( ) center ( )6 ( )7 ( )8 ( )9 ( )10 Progressive I Like: [ ] I Wish: [ ] What If: [ ] Would you take part again? ( )Yes ( )No ( )Maybe Would you recommend an Empathy Circle to family/friends? ( )Yes ( )No Would you like to learn how to facilitate an Empathy Circle? ( )Yes ( )No What do you learn? [ ] Other Comments: [ ] |
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