Friendship Conflict Feedback Form
Share your experience to help us better understand and resolve friendship conflicts.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Who was involved in the conflict?
*
When did the conflict occur?
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Where did the conflict take place?
Please describe the conflict in your own words.
*
What do you think caused the conflict?
*
Miscommunication
Different expectations
External stress
Jealousy
Lack of communication
Other
How did this conflict make you feel?
*
Hurt
Angry
Confused
Sad
Indifferent
Other
Have you tried to resolve the conflict?
*
Yes
No
If yes, what steps did you take to resolve it?
How would you rate the severity of this conflict?
*
Not Severe
1
2
3
4
Very Severe
5
1 is Not Severe, 5 is Very Severe
What is the current status of your friendship?
*
Resolved, we are on good terms
Unresolved, still in conflict
We are not in contact
Other
What suggestions do you have for preventing similar conflicts in the future?
Any additional comments or feedback?
Submit Feedback
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