Appendix 3 - FORMS

Name of Certification Candidate:

My name: 

Email:

Phone:

My relationship to the Certification Candidate: 

Date: 

As part of the preparation process for becoming a Certified Trainer, Certification Candidates are encouraged to solicit feedback from trainers, group members, teammates, mentors, and colleagues in order to support the Certification Candidate’s growing self-awareness.

Briefly describe specific observations (what did the Certification Candidate do or say?), along with what need of yours was met or not met, that would apply to any of the following areas:

• Open to exploring new ideas and concepts
• Involved and active in discussions and exercises
• Ability to receive empathy
• Ability to offer empathy
• Able to stay in the present moment
• Celebrated and recognized new awarenesses and learning new skills

Google document

Google Form

Name of the Certification Candidate:

My name:

Email:

Phone:

As part of the preparation process for becoming a Certified Trainer, Certification Candidates are encouraged to solicit feedback from participants of practice groups or trainings which the Candidate is leading or assisting with.

Title of event: 

Date: 

Online or in-person (if in-person, describe the location): 

Was the Certification Candidate (select one):

• Lead trainer
• Co-trainer
• Assistant trainer

Answer these questions:

1. How helpful was this training (or this Certification Candidate's contribution to the training)? In what ways was it helpful? In what ways might it be improved?
2. What was your level of satisfaction with the way the Certification Candidate presented the material and responded to your questions and concerns? In particular, what did the Certification Candidate do or say to contribute to your satisfaction or dissatisfaction?
3. How comfortable and connected did you feel at this training, and what, if anything, did the Certification Candidate do or say that contributed to that experience?