Chapter Toolkit Evaluation Form Question Title * 1. What was the selected venue for your chapter's roundtable (ie. hospital, school, university)? Question Title * 2. When was your chapter's event hosted? Date/ Time Date Time AM/PM - AM PM Question Title * 3. How many individuals attended your chapter's event? Chapter Members (PNPs/FNPs) Additional PNPs/FNPs Registered Nurses School Personnel (Teachers, Counselors, Administrators) Government Officials/Community Leaders Social Workers Parents Other Total Participants Question Title * 4. Did your chapter receive sponsorship for this event? Yes No Question Title * 5. If yes, how did you go about receiving sponsorship? If yes, please describe the process to solicit and collect sponsorships. Please include the total sponsorship amount. Question Title * 6. Did you offer NAPNAP CE contact hours? Yes No Question Title * 7. Questions relating to the NAPNAP toolkit: Very Useful Useful Somewhat Useful Did not use Did you find the Tool Kit useful when searching for a venue? Did you find the Tool Kit useful when searching for a venue? Very Useful Did you find the Tool Kit useful when searching for a venue? Useful Did you find the Tool Kit useful when searching for a venue? Somewhat Useful Did you find the Tool Kit useful when searching for a venue? Did not use Did you find the Tool Kit useful when searching for a facilitator? Did you find the Tool Kit useful when searching for a facilitator? Very Useful Did you find the Tool Kit useful when searching for a facilitator? Useful Did you find the Tool Kit useful when searching for a facilitator? Somewhat Useful Did you find the Tool Kit useful when searching for a facilitator? Did not use Did you find the Tool Kit useful when trying to recruit participants? Did you find the Tool Kit useful when trying to recruit participants? Very Useful Did you find the Tool Kit useful when trying to recruit participants? Useful Did you find the Tool Kit useful when trying to recruit participants? Somewhat Useful Did you find the Tool Kit useful when trying to recruit participants? Did not use Did you find the Tool Kit useful when trying to market your event? Did you find the Tool Kit useful when trying to market your event? Very Useful Did you find the Tool Kit useful when trying to market your event? Useful Did you find the Tool Kit useful when trying to market your event? Somewhat Useful Did you find the Tool Kit useful when trying to market your event? Did not use Question Title * 8. Additional comments on tool kit usefulness and/or recommended future changes: Question Title * 9. Discussion relating to your chapter's roundtable event: Strongly Agree Agree Neutral Disagree Strongly Disagree Did your selected questions provide you with active and engaging conversation? Did your selected questions provide you with active and engaging conversation? Strongly Agree Did your selected questions provide you with active and engaging conversation? Agree Did your selected questions provide you with active and engaging conversation? Neutral Did your selected questions provide you with active and engaging conversation? Disagree Did your selected questions provide you with active and engaging conversation? Strongly Disagree Did it provide a clearer understanding of the mental health issues affecting your community? Did it provide a clearer understanding of the mental health issues affecting your community? Strongly Agree Did it provide a clearer understanding of the mental health issues affecting your community? Agree Did it provide a clearer understanding of the mental health issues affecting your community? Neutral Did it provide a clearer understanding of the mental health issues affecting your community? Disagree Did it provide a clearer understanding of the mental health issues affecting your community? Strongly Disagree Were you able to attract mental health professionals to provide valuable insight to the conversation? Were you able to attract mental health professionals to provide valuable insight to the conversation? Strongly Agree Were you able to attract mental health professionals to provide valuable insight to the conversation? Agree Were you able to attract mental health professionals to provide valuable insight to the conversation? Neutral Were you able to attract mental health professionals to provide valuable insight to the conversation? Disagree Were you able to attract mental health professionals to provide valuable insight to the conversation? Strongly Disagree Question Title * 10. What was Question #1 selected for your chapter's roundtable event and what were the most relevant notes associated with the question? Question Title * 11. What was Question #2 selected for your chapter's roundtable event and what were the most relevant notes associated with the question? Question Title * 12. What was Question #3 selected for your chapter's roundtable event and what were the most relevant notes associated with the question? Question Title * 13. What were the strengths and weaknesses of your chapter's roundtable event? Question Title * 14. How can the national office assist your chapter in the future to make your events a success? Done