FACILITATOR'S FEEDBACK FORM
First Name
Last Name
Phone
Email Address
Have you ever facilitated or co-facilitated a healing group?
Yes
No
If yes, how many?
Have you gone through the COVID-19 lesson (as a participant)?
Yes
No
Please list the days and times (mornings, afternoons, and evenings) you are available to lead/co-lead a COVID-19 group?
Do you have access to a paid Zoom account that could be used for the sessions?
Yes
No
Do you currently have a facilitating partner for the COVID-19 lesson?
Yes
No
If you have a partner, please list their name, email and phone #
If no partner, would you like Quest to pair you up with an experienced facilitator?
Yes
No
Do you have any questions or concerns that you'd like to share at this time?
SUBMIT
Your form has been submitted.
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