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Adverse Childhood Experiences

Adverse Childhood Experiences

This check-in gives you space to reflect on what’s been most meaningful so far in the program and what you’d like more support with moving forward. Your responses are confidential and will help us tailor the rest of your journey.

Program Experience

How would you describe your overall experience in the program so far?
Excellent
Good
Neutral
Somewhat challenging
Very challenging

Emotional Wellbeing

How balanced or at peace do you feel right now compared to when you started?
Much less balanced
About the same
Much more balanced

Program Highlights

Areas for Growth

Confidence in Tools

How confident are you in using the tools you’ve learned (breathing, grounding, affirmations, mindfulness, etc.) on your own?
Very confident
Somewhat confident
Neutral / Unsure
Not very confident
Not confident at all

Looking Ahead

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