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Thank you for your participation in this workshop! Please provide your feedback about the program by completing the following questions. 

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* 1. Your Name

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* 2. E-mail (If you do not use email, please write, none, in the space below.)

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* 3. Phone number

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* 4. Baby's Name

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* 5. How old is your baby?

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* 6. Workshop Location (For example, Name of Library, Judy Center, etc.)

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* 7. Date of Workshop

Date

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* 8. County

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* 9. The Hatchlings, In the Nest program has four sessions. Which session are you attending today?

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* 10. I learned something by participating in this workshop.
(Please rate your agreement with this statement from 1 - 5, with 5 being the highest value.)

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* 11. Please rate your knowledge in each of the following areas BEFORE and AFTER this workshop.

  1 - Not knowledgeable at all 2 - Not very knowledgeable 3 - Somewhat knowledgeable 4 - Very knowledgeable 5 - Extremely knowledgeable
BEFORE
Baby's brain and language development 
AFTER
Baby's brain and language development 
BEFORE
The value of reading (sharing books) with my baby
AFTER
The value of reading (sharing books) with my baby
BEFORE
How singing, talking, playing and sharing books daily will help my baby's brain and language skills develop
AFTER
How singing, talking, playing and sharing books daily will help my baby's brain and language skills develop
BEFORE
How singing, talking, playing and sharing books will help my baby feel safe and loved
AFTER
How singing, talking, playing and sharing books will help my baby feel safe and loved

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* 12. I feel more confident about what I just learned. 
(Please rate your agreement with this statement from 1 - 5, with 5 being the highest value.)

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* 13. Please rate your confidence in each of the following areas BEFORE and AFTER this workshop.

  1 - Not confident at all 2 - Not very confident 3 - Somewhat confident 4 - Very confident 5 - Extremely confident
BEFORE
The ability to support my baby's brain and language development
AFTER
The ability to support my baby's brain and language development
BEFORE
How to read (share books) with babies in ways they will enjoy
AFTER
How to read (share books) with babies in ways they will enjoy
BEFORE
How to sing, talk, and play with babies in ways they will enjoy
AFTER
How to sing, talk, and play with babies in ways they will enjoy

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* 14. I plan to apply what I just learned. 
(Please rate your agreement with this statement from 1 - 5, with 5 being the highest value.)

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* 15. Please describe one or more ideas you will use from this workshop.

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* 16. I plan to make use of more library programs and materials with my child in the years ahead.                    
(Please rate your agreement with this statement from 1 - 5, with 5 being the highest value.)

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* 17. How many sessions of Hatchlings, In the Nest have you been to so far, counting this one?

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* 18. Did you attend a Hatchlings, Ready to Hatch program before your baby was born?

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* 19. Did another adult attend with you today? If yes, please tell us who in the comment box below (for example, husband, partner, etc.).

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* 20. Do you have any additional feedback or questions?

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