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Environment Webinar Series
Day 3: Safety Measures: Your Program’s Drop Cloth
Feedback Form
You for Youth (Y4Y)
June 24, 2020
1.
What is your primary role with 21st CCLC?
State Coordinator
Project Director
Site Coordinator
Program Staff
Other (please specify)
2.
What grade levels does your program serve? Select all that apply.
Pre-K
Elementary
Middle
High
Other (please specify)
3.
Please rate today's session on the following criteria
Limited
Average
Good
Excellent
Clarity of the information presented
Limited
Average
Good
Excellent
Relevance of the information
Limited
Average
Good
Excellent
Helpfulness of the information
Limited
Average
Good
Excellent
Conciseness of the presentation
Limited
Average
Good
Excellent
Questions were answered
Limited
Average
Good
Excellent
4.
We are always seeking ways to improve our technical assistance and training. Please feel free to provide our Y4Y team with constructive feedback.
5.
Please rate the following statements on a scale of 1 to 4. (1=limited, 2=average, 3=good, 4=excellent)
Before today
After today
My working knowledge of safety planning.
-- Select an option --
1=limited
2=average
3=good
4=excellent
-- Select an option --
1=limited
2=average
3=good
4=excellent
My knowledge of and ability to adapt or create a safety plan that aligns with my program’s needs and logistics.
-- Select an option --
1=limited
2=average
3=good
4=excellent
-- Select an option --
1=limited
2=average
3=good
4=excellent
My confidence in my ability to train my staff to implement safety procedures.
-- Select an option --
1=limited
2=average
3=good
4=excellent
-- Select an option --
1=limited
2=average
3=good
4=excellent
6.
List three (3) things you learned in today's training (your take-aways):
1
2
3
7.
List two (2) concepts or strategies you learned today that you will share with a colleague:
1
2
8.
Identify one (1) strategy you learned today that you will use in your own training or practice: