Self – Rating in the Delivery of Module 5 Interventions

1.Project Username
2.Intervention
3.How well do you feel you did with the intervention?
Poorly
Not so well
Somewhat well
Very well
Extremely well
4.How comfortable did you feel delivering the message (e.g., "you are the expert and I need you" or "I know you must see me as part of the legal system")
Not comfortable at all
Not so comfortable
Somewhat comfortable
Very comfortable
Extremely comfortable
5.How well do you think your families will respond? 
Poorly
Not so well
Somewhat well
Very well
Extremely well