Neftaly Participant Feedback Form
Project Title: ____________________________________
Research Code: ___________________________________
Date of Interview: ________________________________
Participant ID: ___________________________________
Interviewer Name: _________________________________
1. 🌟 Overall Experience
How would you rate your experience participating in this interview?
☐ Excellent ☐ Good ☐ Fair ☐ Poor
2. 🗣 Interview Comfort
I felt comfortable sharing my thoughts during the interview.
☐ Strongly Agree ☐ Agree ☐ Neutral ☐ Disagree ☐ Strongly Disagree
3. 👂 Interviewer Professionalism
The interviewer treated me with respect and maintained a professional tone.
☐ Strongly Agree ☐ Agree ☐ Neutral ☐ Disagree ☐ Strongly Disagree
4. ⏱️ Interview Duration
Was the length of the interview appropriate?
☐ Too Long ☐ Just Right ☐ Too Short
5. 🔒 Privacy and Consent
I understood how my data would be used and felt my privacy was respected.
☐ Strongly Agree ☐ Agree ☐ Neutral ☐ Disagree ☐ Strongly Disagree
6. ✍️ Additional Comments
Please share any suggestions or comments about your experience:
✅ Optional: Permission for Follow-up
May we contact you again for clarification or further participation?
☐ Yes ☐ No
Preferred contact method (if Yes): ___________________________

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