YOC Summit Evaluation Form - Pushout Panel w/Dr. Morris and Venus Evans-Winters Survey

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* 1. Which applies to you?

Teacher

K-12 Student

Other Education Professional (Non-Teacher or School Leader)

School Leader

Parent/Caregiver

Community Member/Activist

Education Advocate

Higher Ed. Professional

Other (please specify)

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* 2. Check all that describe your response to the Pushout Film.

Extremely Thought Provoking

Timely and Necessary

Stories Shared were riveting

I Connected to the Stories Shared

Inspired me to Learn more about the topic

Inspired me to action

Other (please specify)

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* 3. Complete this phrase: I left the Pushout film & dialogue thinking about...

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* 4. Please rate the following:

	Excellent	Very Good	Good	Adequate	Poor
The session materials	The session materials Excellent	The session materials Very Good	The session materials Good	The session materials Adequate	The session materials Poor
The featured guest speakers	The featured guest speakers Excellent	The featured guest speakers Very Good	The featured guest speakers Good	The featured guest speakers Adequate	The featured guest speakers Poor
The youth panelists/facilitators	The youth panelists/facilitators Excellent	The youth panelists/facilitators Very Good	The youth panelists/facilitators Good	The youth panelists/facilitators Adequate	The youth panelists/facilitators Poor
The overall organization of the session	The overall organization of the session Excellent	The overall organization of the session Very Good	The overall organization of the session Good	The overall organization of the session Adequate	The overall organization of the session Poor
Session discussion topics and themes	Session discussion topics and themes Excellent	Session discussion topics and themes Very Good	Session discussion topics and themes Good	Session discussion topics and themes Adequate	Session discussion topics and themes Poor
Accessibility of video-conference meeting space	Accessibility of video-conference meeting space Excellent	Accessibility of video-conference meeting space Very Good	Accessibility of video-conference meeting space Good	Accessibility of video-conference meeting space Adequate	Accessibility of video-conference meeting space Poor
Your ability to be seen, heard, and affirmed	Your ability to be seen, heard, and affirmed Excellent	Your ability to be seen, heard, and affirmed Very Good	Your ability to be seen, heard, and affirmed Good	Your ability to be seen, heard, and affirmed Adequate	Your ability to be seen, heard, and affirmed Poor

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* 5. Please rate the following:

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The youth leaders were knowledgeable and well prepared	The youth leaders were knowledgeable and well prepared Strongly Agree	The youth leaders were knowledgeable and well prepared Agree	The youth leaders were knowledgeable and well prepared Neutral	The youth leaders were knowledgeable and well prepared Disagree	The youth leaders were knowledgeable and well prepared Strongly Disagree
The youth leaders were engaging and interesting	The youth leaders were engaging and interesting Strongly Agree	The youth leaders were engaging and interesting Agree	The youth leaders were engaging and interesting Neutral	The youth leaders were engaging and interesting Disagree	The youth leaders were engaging and interesting Strongly Disagree
The featured speakers were knowledgeable and well prepared	The featured speakers were knowledgeable and well prepared Strongly Agree	The featured speakers were knowledgeable and well prepared Agree	The featured speakers were knowledgeable and well prepared Neutral	The featured speakers were knowledgeable and well prepared Disagree	The featured speakers were knowledgeable and well prepared Strongly Disagree
The session met my expectations and goals for attending	The session met my expectations and goals for attending Strongly Agree	The session met my expectations and goals for attending Agree	The session met my expectations and goals for attending Neutral	The session met my expectations and goals for attending Disagree	The session met my expectations and goals for attending Strongly Disagree
The session provided me with opportunities to grow my knowledge and skills in an area relevant to me as a young person (or mentor & caregiver of a young person)	The session provided me with opportunities to grow my knowledge and skills in an area relevant to me as a young person (or mentor & caregiver of a young person) Strongly Agree	The session provided me with opportunities to grow my knowledge and skills in an area relevant to me as a young person (or mentor & caregiver of a young person) Agree	The session provided me with opportunities to grow my knowledge and skills in an area relevant to me as a young person (or mentor & caregiver of a young person) Neutral	The session provided me with opportunities to grow my knowledge and skills in an area relevant to me as a young person (or mentor & caregiver of a young person) Disagree	The session provided me with opportunities to grow my knowledge and skills in an area relevant to me as a young person (or mentor & caregiver of a young person) Strongly Disagree
The session increased my understanding of PUSHOUT as a racial justice issue for Black girls and other students of color	The session increased my understanding of PUSHOUT as a racial justice issue for Black girls and other students of color Strongly Agree	The session increased my understanding of PUSHOUT as a racial justice issue for Black girls and other students of color Agree	The session increased my understanding of PUSHOUT as a racial justice issue for Black girls and other students of color Neutral	The session increased my understanding of PUSHOUT as a racial justice issue for Black girls and other students of color Disagree	The session increased my understanding of PUSHOUT as a racial justice issue for Black girls and other students of color Strongly Disagree
The session provided practical next steps that I can take action on upon leaving the Summit	The session provided practical next steps that I can take action on upon leaving the Summit Strongly Agree	The session provided practical next steps that I can take action on upon leaving the Summit Agree	The session provided practical next steps that I can take action on upon leaving the Summit Neutral	The session provided practical next steps that I can take action on upon leaving the Summit Disagree	The session provided practical next steps that I can take action on upon leaving the Summit Strongly Disagree

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* 6. Please provide any additional comments in relation to your time in community with us

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* 7. Do you have any suggestions about how the session might be improved?

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* 8. How would you rate this session with 5 stars being it was LIT and 1 star being Meh!

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* 9. Please check all that apply.

I am happy to discuss my feedback further.

I/my organization would like more information about future training and/or follow-up support.

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* 10. If you've checked either of the above boxes, please provide your contact details.

Name

Organization

Job Title

Email Address

Phone Number