Thank you for your participation in our international survey.

We acknowledge and appreciate your valuable insights.

As part of our ongoing efforts to address the supervision gaps identified in the survey, we are exploring the potential for a Global Open Dialogue Supervision Relay initiative. Your input is crucial in shaping this global endeavor. Please take a few minutes to provide us with the following information.

OD Supervision

Section 1: Team Information

Team/Organization Name:

Type of Organization (e.g., healthcare facility, mental health clinic, academic institution):

Location (City)

Location (Country)

Contact Person

First Name

Last Name

Position in the organization

Phone number

Section 2: Open Dialogue Supervision Interest

Would your team potentially be interested in participating in Open Dialogue supervision sessions if the initiative is implemented?

Yes

Unsure

If yes, how many team members might be interested in participating?

Section 3: Language and Translation

Is there a need for translation services for Open Dialogue supervision sessions?

Yes

Unsure

If yes, please specify the preferred language for translation:

If Open Dialogue supervision sessions are provided in English only, how many team members would still be able to participate?

Section 4: Additional Feedback

What challenges or gaps in supervision opportunities has your team experienced?

Any specific expectations or preferences for the initiative?

Additional Questions or Comments

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