Student Exit Survey

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Form Instructions
Thank you for your participation in our SE Professional Training program. We would love to understand more from you about why you are pausing or not continuing in the program so that we can improve our trainings and better support our students. Whatever you choose to share with us is protected under our policies around anti-retaliation and confidentiality. Your feedback will be shared with our Training & Faculty department and only on an as-needed basis with other departments as it pertains to our policies. Your submission will never be used for promotional reasons or for anything other than enhancing the quality of our services and programs. We greatly value any feedback you can share regarding your experience with SEI! Thank you!

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Contact Information



This should be the email on file with SEI.

Please enter a valid phone number in the international format.
Address





Demographic Section 
In this section we would like to gather a little more information about you as an individual. 

The following questions are not required. You may skip questions you do not feel comfortable answering. The results from this section will help Somatic Experiencing International better understand your feedback below. Your answers will only be used for that purpose.  






Main Pause/Cancel Questions
In this section we would like to learn a little bit more about your plans to continue with the three-year training program. 






Training/Training Module Logistics Section
In this section we want to learn more about your experience in the last training module you completed. We will ask questions regarding the location of your training module, the faculty member, and whether you felt safe in the container of the training. Please remember that all feedback shared is confidential.


City, State - Event Level - Training Date



Please think about your interactions with the facility, faculty, assistants and coordinators when answering this question.






Please think about your interactions with the facility, faculty, assistants and coordinators when answering this question.





If you have experienced a situation that falls within our Code of Ethics, we encourage you to submit a formal complaint or ethics grievance so that our Legal and/or Human Resources teams can be notified. 


Please visit this link to read about the two different forms, our Code of Ethics, and to file a form.

Ratings Section

In this section, we will ask you to rate specific aspects of your whole experience with the three-year training program. This section is not required. 


Please rate the following categories on a scale from 1 – 5, 1 being the lowest rating, 3 being a neutral rating and 5 being the highest rating. 

Training Ratings










Administrative Ratings










Consent for Follow-Up Section