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Associate Feedback Form

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Associate Feedback Form

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Associate Feedback Form

This survey asks questions about your experience working with Balanced Minds.  Your input will help us continue to improve the way we operate as a business and build on our working partnerships with our valued Associates.  This form can be submitted anonymously by omitting your name from the top of the survey.  Thank you for taking the time to share your opinions.

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%%Role%%||et_pb_line_break_holder||||et_pb_line_break_holder||Good tools and resources: %%Tools%%||et_pb_line_break_holder||||et_pb_line_break_holder||Good rooms: %%Rooms%%||et_pb_line_break_holder||||et_pb_line_break_holder||Enough training/experience for the role: %%Training%%||et_pb_line_break_holder||||et_pb_line_break_holder||Workload is good: %%Work_load%%||et_pb_line_break_holder||||et_pb_line_break_holder||Referral system is good: %%Referrals%%||et_pb_line_break_holder||||et_pb_line_break_holder||Admin support is good: %%Admin%%||et_pb_line_break_holder||||et_pb_line_break_holder||Supervisor support is good: %%Supervisor%%||et_pb_line_break_holder||||et_pb_line_break_holder||Career development good: %%Improvement%%||et_pb_line_break_holder||||et_pb_line_break_holder||Good morale: %%Teamwork%% ||et_pb_line_break_holder||||et_pb_line_break_holder||Other comments: %%Other%%||et_pb_line_break_holder||||et_pb_line_break_holder||” success_message=”Many thanks for your feedback!” submit_button_text=”Submit to Balanced Minds” _builder_version=”4.14.5″ _unique_id=”ea8ad311-8233-41e2-8f89-0dcf21be489b” hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][et_pb_contact_field field_id=”Name” field_title=”Name (not obligatory)” required_mark=”off” fullwidth_field=”on” _builder_version=”4.14.5″ hover_enabled=”0″ global_colors_info=”{}” sticky_enabled=”0″][/et_pb_contact_field][et_pb_contact_field field_id=”How_satisfied” field_title=”Overall, how satisfied are you working with Balanced Minds?*” field_type=”radio” radio_options=”%91{%22value%22:%22Very satisfied%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Satisfied%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Neither satisfied or dissatisfied%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Dissatisfied%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Very dissatisfied%22,%22checked%22:0,%22dragID%22:3}%93″ fullwidth_field=”on” _builder_version=”4.14.5″ global_colors_info=”{}” hover_enabled=”0″ sticky_enabled=”0″][/et_pb_contact_field][et_pb_contact_field field_id=”Best_bits” field_title=”Please describe what you like best about working with Balanced Minds” field_type=”text” required_mark=”off” fullwidth_field=”on” _builder_version=”4.14.5″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Improvements” field_title=”Please share your suggestions on what Balanced Minds could do to improve your working experience with them” field_type=”text” required_mark=”off” fullwidth_field=”on” _builder_version=”4.14.5″ global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Recruitment” field_title=”My recruitment process was well orchestrated” field_type=”radio” radio_options=”%91{%22value%22:%22Strongly agree%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Agree%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Neutral%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Disagree%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Strongly disagree%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”off” _builder_version=”4.14.5″ background_color=”rgba(0,0,0,0)” background_enable_color=”on” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Role” field_title=”It was clear what my role required of me from the start” field_type=”radio” radio_options=”%91{%22value%22:%22Strongly agree%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Agree%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Neutral%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Disagree%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Strongly disagree%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”off” _builder_version=”4.14.5″ background_color=”rgba(0,0,0,0)” background_enable_color=”on” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Tools” field_title=”I have the tools and resources I need to do my job well” field_type=”radio” radio_options=”%91{%22value%22:%22Strongly agree%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Agree%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Neutral%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Disagree%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Strongly disagree%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”off” _builder_version=”4.14.5″ background_color=”rgba(0,0,0,0)” background_enable_color=”on” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Rooms” field_title=”The consulting rooms provided are well suited for my work” field_type=”radio” radio_options=”%91{%22value%22:%22Strongly agree%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Agree%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Neutral%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Disagree%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Strongly disagree%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”off” _builder_version=”4.14.5″ background_color=”rgba(0,0,0,0)” background_enable_color=”on” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Training” field_title=”I have the training/experience I need to do my job” field_type=”radio” radio_options=”%91{%22value%22:%22Strongly agree%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Agree%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Neutral%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Disagree%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Strongly disagree%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”off” _builder_version=”4.14.5″ background_color=”rgba(0,0,0,0)” background_enable_color=”on” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Work_load” field_title=”The amount of work expected of me is reasonable” field_type=”radio” radio_options=”%91{%22value%22:%22Strongly agree%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Agree%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Neutral%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Disagree%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Strongly disagree%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”off” _builder_version=”4.14.5″ background_color=”rgba(0,0,0,0)” background_enable_color=”on” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Referrals” field_title=”The referral system works well and my free slots are filled quickly” field_type=”radio” radio_options=”%91{%22value%22:%22Strongly 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background_enable_color=”on” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Supervisor” field_title=”My supervisor is able to address my questions and concerns” field_type=”radio” radio_options=”%91{%22value%22:%22Strongly agree%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Agree%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Neutral%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Disagree%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Strongly disagree%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”off” _builder_version=”4.14.5″ background_color=”rgba(0,0,0,0)” background_enable_color=”on” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Improvement” field_title=”My supervisor provides me with actionable suggestions and opportunities for me to develop my career” field_type=”radio” radio_options=”%91{%22value%22:%22Strongly agree%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Agree%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Neutral%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Disagree%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Strongly disagree%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”off” _builder_version=”4.14.5″ background_color=”rgba(0,0,0,0)” background_enable_color=”on” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Teamwork” field_title=”There is a good sense of morale at Balanced Minds and I feel part of a team” field_type=”radio” radio_options=”%91{%22value%22:%22Strongly agree%22,%22checked%22:0,%22dragID%22:-1},{%22value%22:%22Agree%22,%22checked%22:0,%22dragID%22:0},{%22value%22:%22Neutral%22,%22checked%22:0,%22dragID%22:1},{%22value%22:%22Disagree%22,%22checked%22:0,%22dragID%22:2},{%22value%22:%22Strongly disagree%22,%22checked%22:0,%22dragID%22:3}%93″ required_mark=”off” _builder_version=”4.14.5″ background_color=”rgba(0,0,0,0)” background_enable_color=”on” global_colors_info=”{}”][/et_pb_contact_field][et_pb_contact_field field_id=”Other” field_title=”Other comments / enquiries” field_type=”text” required_mark=”off” fullwidth_field=”on” _builder_version=”4.14.5″ global_colors_info=”{}”][/et_pb_contact_field][/et_pb_contact_form][/et_pb_column][/et_pb_row][/et_pb_section]