Post Dialogue Survey – Days of Dialogue

Days of Dialogue – Post-Dialogue Survey

Thank you for participating. Your reflections help us understand the impact of this dialogue and improve future conversations.

First Name

Last Name

Date

Dialogue Title

Dialogue Date

Dialogue Time

Host/Partner Organization

I felt heard and respected during the dialogue.

The space felt emotionally safe.

I heard perspectives that were new or different from my own

Did anything shift in how you see this issue?

What moment from the dialogue felt most meaningful to you?

I feel more confident engaging in future conversations on this topic.

How are you feeling after participating in this dialogue?

Overall, how would you rate the facilitator(s)?

What did the facilitator(s) do particularly well?

Is there anything the facilitator(s) could improve?

Do you feel more connected to others after this dialogue?

Would you participate in another dialogue like this?

Would you like someone to contact you to schedule or learn more about a future dialogue?

Is there anything else you would like us to know?

*We will only use your contact information for dialogue-related follow-up and will not share it.