REVIVE! Training Evaluation Form Question Title * 1. Did you attend the Lay Rescuer Training or the Lay Rescuer Training of Trainers? Lay Rescuer Lay Rescuer Training of Trainers Rapid REVIVE! Question Title * 2. Date of Training Date Date Question Title * 3. Instructor Question Title * 4. Please rate the following using a scale from 1 (poor) to 5(excellent). 1 2 3 4 5 N/A Quality of Training Content Quality of Training Content 1 Quality of Training Content 2 Quality of Training Content 3 Quality of Training Content 4 Quality of Training Content 5 Quality of Training Content N/A Satisfaction with Instructor Satisfaction with Instructor 1 Satisfaction with Instructor 2 Satisfaction with Instructor 3 Satisfaction with Instructor 4 Satisfaction with Instructor 5 Satisfaction with Instructor N/A Quality of Training Facilities (if the training was virtual, select N/A and go to the next question) Quality of Training Facilities (if the training was virtual, select N/A and go to the next question) 1 Quality of Training Facilities (if the training was virtual, select N/A and go to the next question) 2 Quality of Training Facilities (if the training was virtual, select N/A and go to the next question) 3 Quality of Training Facilities (if the training was virtual, select N/A and go to the next question) 4 Quality of Training Facilities (if the training was virtual, select N/A and go to the next question) 5 Quality of Training Facilities (if the training was virtual, select N/A and go to the next question) N/A Quality of Virtual Connection Quality of Virtual Connection 1 Quality of Virtual Connection 2 Quality of Virtual Connection 3 Quality of Virtual Connection 4 Quality of Virtual Connection 5 Quality of Virtual Connection N/A Question Title * 5. Please answer the questions below. Do you feel comfortable administering Naloxone? Yes No Question Title * 6. Would you like to request additional training? Yes No Question Title * 7. Please share any ideas that would help improve this training. Question Title * 8. Please provide your email address Done