The Journey Back Annual Evaluation 1. Default Section Question Title * 1. Please describe your role in using this tool. Burn Center staff Burn Foundation Staff Teacher Parent Fire Service Other (please specify) Question Title * 2. Please describe your satisfaction with The Journey Back Program and resources to assist school reentry after burn injury. Very satisfied Satisfied Indifferent Dissatisfied Very dissatisfied Question Title * 3. Please estimate the total number of children you are helping with this tool on an annual basis. (For example one school reentry may reach 200 children) None, I have it for reference only 30-60 children per year 61-100 children per year 101-500 children per year 501-1000 children per year Other (please specify) Question Title * 4. Please describe the strongest aspect of The Journey Back as a school reentry tool. Question Title * 5. Please describe the weakest area, or subject in need of improvement for The Journey Back. Question Title * 6. Please mark what topics below would be helpful to you. An online message board for networking A training course for using school reentry techniques Online educational modules related to school reentry A toolbox of more resources to use in school reentry presentations Periodic articles or bulletins with school reentry information Other (please specify) Question Title * 7. Describe what is going well with your school reentry programs. Question Title * 8. Describe what is challenging for your school reentry programs. Question Title * 9. Is The Journey Back providing you the needed information to comfortably reintegrate a child back to school after a burn injury? Yes No Question Title * 10. Are you using the basic format of The Journey Back to reintegrate children with other diagnosis or traumatic experiences (other than burns) back to school? Yes No Question Title * 11. How did you hear about The Journey Back? Internet Conference/Trade Show Burn Support News article/advertisement Child Life Council advertisement Word of Mouth Other (please specify) Question Title * 12. Do you use/recommend your constituents use other Phoenix Society programs/services? Please mark all that apply. Phoenix World Burn Congress George Pessotti Scholarship Program Phoenix SOAR Burn Support Magazine Chat On-line Resource Center and Support Community Behavioral & Enhancement Skills Training Phoenix Educational Grant Program Prevention and Advocacy Other (please specify) Question Title * 13. Please share how The Journey Back has impacted you; how has it benefitted the work that you do? Question Title * 14. Please share any additional comments: Done