Senior sikkum

This form is treated with the strictest of confidence. Providing your name is not compulsory but can be useful if we want to follow up and gain clarity to improve future Machanot. If you do not wish to write your name, your tafkid and shevet will suffice, e.g “Madricha in Shevet Avichai.” If you have 2 Roshim or TOs please make clear who the feedback in each box is about. e.g “Anoushka was not present and Gila made nice food”

Sgan/it

Rosh

TO

Head Cook/Chef

Medic