FACILITATOR SELF EVALUATION Question Title * 1. Facilitator Name: Question Title * 2. Co-Facilitator Name: Question Title * 3. Date Training Completed: Date Date Question Title * 4. Province Training was Held: BC AB SK MB ON QC LAB Question Title * 5. Treatment Centre/First Nation/Organization Trained: Question Title * 6. What modules did you facilitate: Module 1 - About Suicide Module 2 - Myths & Facts Module 3 - Decreasing Stigma Module 4 - Colonization Module 5 - Reducing Risk Factors for Suicide Module 6 - Warning Signs for Suicide Module 7 - Media Guidelines Module 8 - Engagement Module 9 - When and Why Youth Seek Help Module 10 - Protective Factors Module 11 - Getting Help for Someone Module 12 - Self Care Question Title * 7. Have you learned anything new about yourself since presenting this last time? Question Title * 8. Were you able to address all the questions you received during the dialogue? Yes No Question Title * 9. If not, what will you do differently next time to be able to answer similar questions? Question Title * 10. How confident did you feel in your understanding of the material presented? (on a scale of 1-5 with 1 low and 5 high) Not confident at all Somewhat confident Confident Very confident Extremely confident Not confident at all Somewhat confident Confident Very confident Extremely confident Question Title * 11. Approximately how much time did you spend preparing to Facilitate? 0-60 minutes 1 - 4 hours 4 - 8 hours 1-2 days 3-4 days 5+ days Question Title * 12. Did you: Check video links before starting? Read/review your facilitator notes? Have ice breakers ready in case they were needed during the training? Question Title * 13. Did you develop any new activities? Yes No Question Title * 14. If yes, please describe the activity? Question Title * 15. If yes, where did you insert the activity into the training? Question Title * 16. Did you have to assist participants in using the QR survey code: Yes No Question Title * 17. Were any manual evaluations completed? Yes No Question Title * 18. If yes, how many? Question Title * 19. Did you enter them into survey monkey? Yes No Question Title * 20. If no, why? or who did? Question Title * 21. Did you provide certificates to those who completed the course? Yes No Question Title * 22. If no, why? Who did? Question Title * 23. Did you feel you met the objectives in teaching the modules? Yes No Question Title * 24. What could you have done better? Question Title * 25. What did you enjoy the most about facilitating the Life is Sacred program? Question Title * 26. What is your confidence level in presenting the training this time? (on a scale of 1-5 with 1 low and 5 high) Not confident at all Somewhat confident Confident Very confident Extremely confident Not confident at all Somewhat confident Confident Very confident Extremely confident Question Title * 27. Please list the names of participants who received Certificates (for database/statistical purposes) Done