Kitchen Table Conversation Feedback Form

Tell us how your conversation went

First Name
Last Name
Email *
Zip/Postal Code *

United States

When did your conversation take place?
Where did the conversation take place (City/Town)
Were you a host or a participant? Host Participant Other...
How many others were in attendance?
What are the major themes of the conversation
What is your group planning to do next, during the upcoming federal election and/or after?
How will you personally continue to engage with this work?
Other feedback or comments
- If you are not already subscribed, would you like to receive email updates from Council of Canadians? * Yes, opt in to email updates No, do not opt in

Kitchen Table Conversation Feedback Form

Thank you for hosting or attending a small group kitchen table conversation. Please use this form to share with us how the conversation went, provide any feedback, and share what next steps your group arrived at.

Tell us how your conversation went

Kitchen Table Conversation Feedback Form

Sponsored by