* 1. Name:

* 2. Business/organization:

* 3. Date of workshop:

* 4. Location of workshop:

* 5. What do you feel is the MOST important thing the youth you coached learned from the My Life! My Plan! workshop?

* 6. How well did the training materials prepare you for this workshop?

* 7. How well do you feel that the facilitator guided you through the workshop, explaining your role with each step?

* 8. Do you have a success story to share regarding the My Life! My Plan! workshops and/or the student(s) with whom you interacted?

* 9. Do you have any additional suggestions regarding the structure of the workshops or the materials used?