Help Us Do Better

If a healing circle failed to meet your expectations, please let us know, so we can improve.

Note that healing circles are groups of peers who support one another through deep listening and compassion. Circle participants abide by agreements, including agreements around confidentiality. The volunteers who host healing circles do not provide medical or psychotherapeutic advice or treatment. Participation in a healing circle does not replace the care provided by a qualified healthcare professional.

Your name

Your email address

Name of circle

Name of the person who could do better

Date of circle

To help the person you named improve, we we'll need to share your feedback, but we don't need to share your identity. Which do you prefer?

Keep me anonymousGo ahead and identify me

Please indicate whether one or more agreements were broken

We treat each other with kindness and respect.We listen with compassion and curiosity.We honor each other's unique ways to healing and don't presume to advise, fix, or save one another.What we share in circle is confidential.We trust that each of us has the guidance we need within us, and we rely on the power of silence to access it.

Brief description of incident

Please describe what happened in factual, objective terms. Include key details such as what was observed, what was said or done, and the immediate response.

Was any action taken?

What was done (if anything) to address the situation?

How are you doing personally after this incident?

Is there anything you need at this time, or is there any way we can support you?

Additional notes or concerns

Include anything that may help Healing Circles Global provide appropriate follow-up support.

Date of submission

Contact Information