Virtual Coffee Break Feedback Form

Thank you for connecting with us and participating in our Virtual Coffee Breaks.

As we continue the program, we want to hear about your experience so far! You may leave your information blank if you wish to submit feedback anonymously.

Kindly fill up the feedback form below:

About You
Are you a YorkU Student/Alumni, Staff, or Volunteer Host? *

*
	None	A few (0-3)	Some (3-5)	Many (5+)
How many Virtual Coffee Breaks did you join?	How many Virtual Coffee Breaks did you join?None	How many Virtual Coffee Breaks did you join?A few (0-3)	How many Virtual Coffee Breaks did you join?Some (3-5)	How many Virtual Coffee Breaks did you join?Many (5+)

Overall Experience

Let us know your thoughts! *
Let us know your thoughts!	Did not meet expectations	Met Some Expectations	Met All Expectations	Exceeded Expectations
1. How was your overal experience?	1. How was your overal experience?Did not meet expectations	1. How was your overal experience?Met Some Expectations	1. How was your overal experience?Met All Expectations	1. How was your overal experience?Exceeded Expectations

*
	Too Long/Too Frequent	Works Fine	Works Great	Depends on the Topic/Activity
2. What do you think of the length of the Coffee Breaks?	2. What do you think of the length of the Coffee Breaks?Too Long/Too Frequent	2. What do you think of the length of the Coffee Breaks?Works Fine	2. What do you think of the length of the Coffee Breaks?Works Great	2. What do you think of the length of the Coffee Breaks?Depends on the Topic/Activity
3. What do you think of the frequency of the Virtual Coffee Breaks?	3. What do you think of the frequency of the Virtual Coffee Breaks?Too Long/Too Frequent	3. What do you think of the frequency of the Virtual Coffee Breaks?Works Fine	3. What do you think of the frequency of the Virtual Coffee Breaks?Works Great	3. What do you think of the frequency of the Virtual Coffee Breaks?Depends on the Topic/Activity

4. Do you have any suggestions for the time and frequency? *
Your Virtual Coffee Break Experience

We want to hear your feedback on the following:
5. What is the main highlight/most memorable part of your experience as a Virtual Coffee Breaks? *
6. Do you have any feedback on how we can improve the Virtual Coffee Breaks? *
7. What topics/themes would you see in future Virtual Coffee Breaks? *
Passionate about seeing the Virtual Coffee Breaks thrive?

OPTIONAL: Leave us your contact information so we can get in touch and talk about it some more!
Full Name: Full Name: First Last
Preferred First Name (if different from full name):
Email Address:
Interested in Volunteering as a Host?

Interested in Volunteering as a Host? If yes, please include your name and contact above. No, thanks.

Virtual Coffee Break Feedback Form

Virtual Coffee Break Feedback Form

About You

Overall Experience

Your Virtual Coffee Break Experience

Passionate about seeing the Virtual Coffee Breaks thrive?