FEEDBACK QUESTIONNAIRE ON GROWING YOUR PEACE AT WORK©

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* 1. How long did you use the Growing Your Peace at Work© Guidelines and Checklist?

Between 1 and 3 days?

Between 4 and 6 days?

Between 7 and 9 days?

Between 10 and 15 days?

16 days or more?

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* 2. Rate the impact on you in the workplace from using the Growing Your Peace At Work© Guidelines and Checklist?

	Extremely Helpful	Very Helpful	Somewhat Helpful	Uncertain	No Impact	Not Applicable
Improving the Quality of your workday?	Improving the Quality of your workday? Extremely Helpful	Improving the Quality of your workday? Very Helpful	Improving the Quality of your workday? Somewhat Helpful	Improving the Quality of your workday? Uncertain	Improving the Quality of your workday? No Impact	Improving the Quality of your workday? Not Applicable	Improving the Quality of your workday?	Improving the Quality of your workday?	Improving the Quality of your workday?
Improving the quality of your interactions with others?	Improving the quality of your interactions with others? Extremely Helpful	Improving the quality of your interactions with others? Very Helpful	Improving the quality of your interactions with others? Somewhat Helpful	Improving the quality of your interactions with others? Uncertain	Improving the quality of your interactions with others? No Impact	Improving the quality of your interactions with others? Not Applicable	Improving the quality of your interactions with others?	Improving the quality of your interactions with others?	Improving the quality of your interactions with others?
Reducing the amount of time you spend at work taking about your workplace distress?	Reducing the amount of time you spend at work taking about your workplace distress? Extremely Helpful	Reducing the amount of time you spend at work taking about your workplace distress? Very Helpful	Reducing the amount of time you spend at work taking about your workplace distress? Somewhat Helpful	Reducing the amount of time you spend at work taking about your workplace distress? Uncertain	Reducing the amount of time you spend at work taking about your workplace distress? No Impact	Reducing the amount of time you spend at work taking about your workplace distress? Not Applicable	Reducing the amount of time you spend at work taking about your workplace distress?	Reducing the amount of time you spend at work taking about your workplace distress?	Reducing the amount of time you spend at work taking about your workplace distress?
Improving your ability to cope with negative behaviour of others at work?	Improving your ability to cope with negative behaviour of others at work? Extremely Helpful	Improving your ability to cope with negative behaviour of others at work? Very Helpful	Improving your ability to cope with negative behaviour of others at work? Somewhat Helpful	Improving your ability to cope with negative behaviour of others at work? Uncertain	Improving your ability to cope with negative behaviour of others at work? No Impact	Improving your ability to cope with negative behaviour of others at work? Not Applicable	Improving your ability to cope with negative behaviour of others at work?	Improving your ability to cope with negative behaviour of others at work?	Improving your ability to cope with negative behaviour of others at work?
Reducing your frustration level with workplace challenges/obstacles?	Reducing your frustration level with workplace challenges/obstacles? Extremely Helpful	Reducing your frustration level with workplace challenges/obstacles? Very Helpful	Reducing your frustration level with workplace challenges/obstacles? Somewhat Helpful	Reducing your frustration level with workplace challenges/obstacles? Uncertain	Reducing your frustration level with workplace challenges/obstacles? No Impact	Reducing your frustration level with workplace challenges/obstacles? Not Applicable	Reducing your frustration level with workplace challenges/obstacles?	Reducing your frustration level with workplace challenges/obstacles?	Reducing your frustration level with workplace challenges/obstacles?
Reducing the emotional charge you feel around difficult work relationships?	Reducing the emotional charge you feel around difficult work relationships? Extremely Helpful	Reducing the emotional charge you feel around difficult work relationships? Very Helpful	Reducing the emotional charge you feel around difficult work relationships? Somewhat Helpful	Reducing the emotional charge you feel around difficult work relationships? Uncertain	Reducing the emotional charge you feel around difficult work relationships? No Impact	Reducing the emotional charge you feel around difficult work relationships? Not Applicable	Reducing the emotional charge you feel around difficult work relationships?	Reducing the emotional charge you feel around difficult work relationships?	Reducing the emotional charge you feel around difficult work relationships?
Improving your ability to perform at your best?	Improving your ability to perform at your best? Extremely Helpful	Improving your ability to perform at your best? Very Helpful	Improving your ability to perform at your best? Somewhat Helpful	Improving your ability to perform at your best? Uncertain	Improving your ability to perform at your best? No Impact	Improving your ability to perform at your best? Not Applicable	Improving your ability to perform at your best?	Improving your ability to perform at your best?	Improving your ability to perform at your best?
Improving the focus you bring to your job?	Improving the focus you bring to your job? Extremely Helpful	Improving the focus you bring to your job? Very Helpful	Improving the focus you bring to your job? Somewhat Helpful	Improving the focus you bring to your job? Uncertain	Improving the focus you bring to your job? No Impact	Improving the focus you bring to your job? Not Applicable	Improving the focus you bring to your job?	Improving the focus you bring to your job?	Improving the focus you bring to your job?
Improving your frame of mind at home?	Improving your frame of mind at home? Extremely Helpful	Improving your frame of mind at home? Very Helpful	Improving your frame of mind at home? Somewhat Helpful	Improving your frame of mind at home? Uncertain	Improving your frame of mind at home? No Impact	Improving your frame of mind at home? Not Applicable	Improving your frame of mind at home?	Improving your frame of mind at home?	Improving your frame of mind at home?

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* 3. Identify one aspect of the Growing Your Peace At Work© Guidelines and Checklist that was particularly helpful to you.

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* 4. Identify one aspect of the Growing Your Peace At Work© Guidelines and Checklist that you would change.

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* 5. Would you recommend the Growing Your Peace At Work© Guidelines and Checklist to colleagues and/or friends.

Yes

No

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* 6. Is there any other comment you wish to make about your experience in using the Growing Your Peace At Work© Guidelines?