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11/8/2020 Empathy Survey EDT 180

Empathy Survey EDT 180


This survey will be asking you questions about your goals, both short and long term.

1. What are your short term goals? Please list at least one.

2. What are your long term goals? List at least one.

3. Do you write your goals down?

Mark only one oval.

Yes

No

Other:

https://docs.google.com/forms/d/1brlk_O6pJH6hfM11TQrG6vBVY9-8MvmmG6iW7uGy4-c/edit 1/2
11/8/2020 Empathy Survey EDT 180

4. If you answered yes, do you think it helps in achieving your goals?

Mark only one oval.

Yes

No

N/A

5. What is stopping you from achieving your goals?

Mark only one oval.

Money

Family

Lack of motivation

Location

Other

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 Forms

https://docs.google.com/forms/d/1brlk_O6pJH6hfM11TQrG6vBVY9-8MvmmG6iW7uGy4-c/edit 2/2

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