1. Feedback

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* 1. Title of activity, workshop or program?

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* 2. What was the date of your participation?
(month or term, year)

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* 3. Please rate your experience by selecting your level of agreement with the following statements

  Strongly Agree Agree Disagree Strongly Disagree Prefer not to respond
I was stimulated to think about new concepts or to see old concepts in a new way.
The materials (e.g. handouts, slides, overheads, etc.) were (or will be) informative and helpful.
I now know enough about this topic to engage colleagues in a conversation about it.
The facilitators presented the session well
I will be able to use what I have learned from this session in my work.

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* 4. Which of the following best describes you?

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* 5. Have you put what you learned into practice?

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* 6. How do you plan use what you learned?

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* 7. If a colleague were to ask you about your experience, what would you say?

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* 8. What do you need to further develop your skills or learning?

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* 9. How would you like to advance this work in the future? (for yourself and for the Stetson community)

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* 10. Would you be willing to provide a testimonial for publication about your experience?

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