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Wellbeing Conversations - Record of discussion
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1.
Question 1.
Colleague Name:
Required
- Required.
*
2.
Question 2.
Job Title:
Required
- Required.
*
3.
Question 3.
Staff Group:
Required
- Required.
Add Prof Scientific and Technical
Additional Clinical Services
Admin and Clerical
Allied Health Professional
Estates and Ancillary
Medical and Dental
Nursing and Midwifery Registered
Students
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4.
Question 4.
Division
Required
- Required.
Corporate
Knowsley
St Helens
Warrington and Halton
MH Urgent Care and Specialist
5.
Question 5.
Date wellbeing conversation took place:
*
*
6.
Question 6.
Was the wellbeing conversation carried out by your line manager?
Required
- Required.
Yes
No
*
If no, please specifiy reason
Required
This is required
7.
Question 7.
On a scale of 0-5, with 0 being poor and 5 being excellent:
0 to 5.
Please rate your experience of your wellbeing conversation.
Clear