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Please fill out a feedback form for each Virtual Clubhouse you attended!  Thank you!

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* 1. Which OST Virtual Clubhouse Title did you attend?

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* 2. Name of OST Virtual Clubhouse Host(s)

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* 3. Using a scale from 1-5 (1=Strongly Disagree, 5=Strongly Agree), indicate the extent to which you agree with the following statements.

  Strongly Disagree Disagree Neither Disagree nor Agree Agree Strongly Agree
1. OST Virtual Clubhouse Hosts/Facilitators identified goals of the OST Clubhouse
2. OST Virtual Clubhouse Hosts/Facilitators met those goals effectively
3. OST Virtual Clubhouse HostsTrainers/Facilitators provided multiple approaches to participant’s learning
4. OST Virtual Clubhouse HostsTrainers/Facilitators offered opportunities to ask questions and answered my questions effectively
5.  OST Virtual Clubhouse Hosts/Facilitators provided a safe learning environment
6. My knowledge of the topics presented in the OST Virtual Clubhouse has increased.
7. My capacity to offer high quality programs has increased.

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* 4. What could be done differently next time to improve the OST Virtual Clubhouse, or what could be added?

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* 5. What did you find most useful about the OST Virtual Clubhouse? What will you use in your work?

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* 6. Additional comments or questions:

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* 7. Which of these two options most closely describes your role at your organization (choose one)

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