CIRCLES Report
  • *
    Reporting Staff Name
  • *
    Your Email
  • *
    Event Type
  • *
    Group Type
  • *
    Location
  • *
    Session Date
  • *
    # Mentors
  • *
    # Staff
  • *
    List Adults Present

    0 / 5000

  • *
    # Youth
  • *
    List Youth Present
    List first names

    0 / 5000

  • *
    Session Outline / Agenda

    Share a high-level overview of your actual session. If identical to what was used on your planning document you may copy/paste. 

    0 / 5000

  • *
    Session "Highs"
    Consider your own observations and what was shared in staff debrief. 

    0 / 20000

  • *
    Session "Grows"
    Consider your own observations and what was shared in staff debrief. 

    0 / 20000

  • Session Rating
    1 = Emergency (Immediate Follow Up), 2 = Very Difficult (Follow Up), 3 = Rough, 4 = Good, 5 = Ideal / Excellent
  • Follow Up Actions / Requests
    Note any follow up actions you are taking or if you have requests for support from the leadership team. 

    0 / 20000

  • Photo Upload
  • zs_custommodule13
  • zs_products

That's all, folks!

* End page and disqualification logic can only be seen in the live survey

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