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GARE Listening and Healing Circles Reflection Form

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Questions

1. I found the Learning Circle (Day 1) to be a helpful meeting to attend. *

	Strongly disagree
	Somewhat disagree
	Neither disagree or agree

	Somewhat agree
	Strongly agree
	I did not attend the Learning Circle (Day 1)

2. I found the Healing Circle (Day 2) to be a helpful meeting to attend. *

	Strongly disagree
	Somewhat disagree
	Neither disagree or agree

	Somewhat agree
	Strongly agree
	I did not attend the Healing Circle (Day 2)

3. How comfortable and safe did you feel in engaging during the sessions?*

	Very unsafe
	Unsafe
	Neither unsafe or safe

	Safe
	Very safe

4. How do you feel either session could have been improved? If you have no suggestions, please enter N/A.

5. Would you like to become a GARE team member?*

Yes, sign me up

No, not at this time

6. Would you be interested in joining an affinity group within GARE? An affinity group is a group formed around race/ethnicity in which employees are provided a safe space for dialogue and can discuss racial equity efforts within the City of Richmond.*

Yes, I am interested

No, not at this time

If you listed Yes to question 5. or 6., we ask that you either (1) include your name and email below or (2) email Trina Jackson (Trina_Jackson@ci.richmond.ca.us) if you would like your survey response to stay anonymous.

7. Are there any additional comments or suggestions that you would like to share with the GARE team?

* indicates required fields.