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Feedback Loop Template

(Monthly Check-in Form)

Create a simple Google Form with for quick emotional check-ins and basic feedback collection, accessible via QR code.

Estimated Time: 30 minutes

Materials: Google Forms account, QR code generator (free online), printer for QR code posters

Instructions:

1. Create a Google Form with simple questions.

*Please refer suggestions of questions below or can use established questionnaire on staff well-being

2. Generate QR code for the form

3. Print and laminate QR code posters

4. Place posters in staff room and common areas

5. Send a brief email introducing the feedback system

Assessment: Track weekly response rates and review feedback during staff meetings

Title: Staff Wellbeing Feedback Form

Instructions:
This form is designed to gather your honest feedback on the wellbeing initiatives we have implemented this month. Your input will help us improve and sustain these efforts. All responses are confidential.

Section A: Personal Reflection

(Tick one per item)

1. I feel appreciated at work:
☐ Strongly Agree
☐ Agree
☐ Disagree
☐ Strongly Disagree

2. The wellbeing initiatives (Feel-Good Friday, shoutouts) have helped boost my mood at work:
☐ Strongly Agree
☐ Agree
☐ Disagree
☐ Strongly Disagree

Section B: Effectiveness & Suggestions

3. Which initiative made the most impact for you? Why?
(Short answer)

4. What can we do better next month to support staff wellbeing?
(Short answer)

5. Do you have any ideas you'd like to see implemented?
☐ Yes. Please describe: ________
☐ No

Section C: Optional Recognition

6. I would like to give a shoutout to:
Name: __________
Reason: _____________________________

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Feel Good Friday Activities:

Digital Gratitude Wall

Create a shared Padlet wall where teachers can post anonymous appreciation messages for their colleagues. Each week focuses on a different theme: professional support, emotional support, creative inspiration, and daily kindness.

Estimated Time: 15-20 minutes

Materials: Digital devices (phones/laptops), Padlet board (free version)

Instructions:

1. Set up a Padlet board with four columns labelled Week 1-4

2. Share the Padlet link with all teachers via email or WhatsApp group

3. Ask teachers to post at least one appreciation message each Friday

4. Display the Padlet on a screen in the staff room during lunch break

5. End of day: Send compiled messages to all staff via email

Assessment: Monthly survey to measure staff morale and participation rate

Differentiation: Provide option for handwritten notes for those who prefer traditional methods; Enable comments feature for interactions

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Feel-Good Friday Activities:

Sweet Treats Surprise

Weekly rotation of teachers bringing local treats for the staff room. Each Friday focuses on different local delicacies.

Estimated Time: 10-15 minutes

Materials: Local snacks (e.g., kuih, curry puffs, ondeh-ondeh, or packed roti canai), serving plates, note cards

Instructions:

1. Create a monthly rotation schedule for teachers

2. Assigned teacher brings treats for the week

3. Place treats in staff room with a cheerful note

4. Teachers enjoy treats during breaks

5. Share photos in staff WhatsApp group

Assessment: Informal feedback during staff meetings

Differentiation: Include options for various dietary restrictions; Allow teacher pairs for cost-sharing

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Link Google Meet for Peer Sharing Session!

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Link Google Meet for PLC session!

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Teacher, what do you think about this Self-Care and Support Framework? Has it been helpful for your wellbeing?

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Week 1 (Days 1 - 7): Awareness & Grounding

Goal: Increase mindfulness of your current mental/ emotional/ physical state.

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Day 1-

List 3 things you're grateful for.

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Day 2-

Do a 5-minute body scan meditation.

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Day 3-

Declutter your desk or workspace.

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Day 4-

Take a slow walk and write down what you notice.

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Day 5-

Turn off all screens 1 hour before bed.

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Day 6-

Journal: “What makes me feel safe and calm?”

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Day 7-

Weekly Reflection: What aspects of my leadership or wellbeing have I become more conscious of?

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Week 2 (Days 8 - 14): Compassion & Connection

Goal: Build self-kindness and reconnect with your values and people.

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Day 8-

Write a kind letter to yourself.

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Day 9-

Text or call someone who makes you laugh.

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Day 10-

Post a thank-you note to a staff member.

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Day 11-

Affirmation: “I am enough as I am.” Repeat 3x.

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Day 12-

Share a success story in your school WhatsApp group.

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Day 13-

Journal: “How did I care for others without depleting myself?”

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Day 14-

Weekly Reflection: How did connecting with others positively impact your motivation or wellbeing?

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Week 3 (Days 15–21): Energy & Boundaries

Goal: Identify energy leaks and create healthy limits.

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Day 15-

Map your energy highs and lows today.

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Day 16-

Say “no” to something nonessential.

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Day 17-

Reclaim 15 minutes for rest (block it out).

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Day 18-

Complete the sentence: “I feel tired when…”

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Day 19-

Reflect on one boundary you want to set this month.

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Day 20-

Unplug from school emails/socials after 6PM.

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Day 21-

Weekly Reflection: What boundary helped you most?

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Week 4 (Days 22 – 30): Growth & Intentional Habits

Goal: Align habits with long-term personal and professional values.

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Day 22-

Identify 3 values that guide your leadership.

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Day 23-

Journal about a personal victory (big or small).

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Day 24-

Envision your ideal daily routine.

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Hi, new friend!

Please introduce yourself (Feel free to tell us anything you want us to know)!

And don't forget to tell us when your first day of using this self-care and support framework is (a date)!

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Day 25-

Let go: Write down one thing you’re releasing.

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Day 26-

Create a 3-point affirmation mantra.

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Day 27-

Make a vision board (physical or digital).

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Day 28-

Reflect: “How have I changed in 30 days?”

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Day 29-

Write a letter to your future self (6 months from now).

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Day 30-

Final Reflection: Who am I becoming as a leader who prioritizes wellbeing in myself and others?