Training Module: Loss and Grief

Purpose: The information you provide in this evaluation survey will ONLY be used by Children's Services to understand how to improve future training sessions and will take approximately 5-10 minutes to complete.  

Confidentiality and anonymity: When used for research purposes all your comments are kept confidential and anonymous.  Your name will never be sued in any presentations or reports about this training module.  Comments regarding specific children in your care may be shared with your support worker.  

By completing this survey you are agreeing to take part in this evaluation activity.

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* 1. Training Module.  
Read each statement carefully and circle the response that best reflects the impact of this training module, if any.

  1 - Strongly Disagree 2 - Disagree 3 - Agree 4 - Strongly Agree
There was enough time provided for this training.
The information presented was valuable.
Opportunities were provided to share my own thoughts and experiences.
The training was appropriate for my level of knowledge / experience.
I would recommend this training to others.

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* 2. Impact of Training
Read each statement carefully and circle the response that best reflects the impact of this training module, if any.

  1 - Strongly Disagree 2 - Disagree 3 - Agree 4 - Strongly Agree
This training increased my understanding of the loss.
This training increased my understanding of the grief.
This training increased my understanding of the 3 primary roles of a caregiver.
This training increased my understanding of your own losses, healing path and values about loss.

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* 3. One thing that stood out for me in this course that will help improve my ability to better serve infants, children, and youth would be: 

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* 4. One thing that I learned that challenged or changed my previous knowledge of child development would be: 

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* 5. After taking this training, one thing that I would like to further learn more about would be: 

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* 6. We would like to follow up with you in 3 months to ask about whether or not this training module impacted your practices.  If you agree, your contact information will only be used for follow up purposes and your name and contact information will remain in a locked filing cabinet in a Children's Services office in Edmonton, Alberta.  Please check one of the following boxes to let us know if we can contact you.

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