Please answer the following questions:

* 1. Your Name:

* 2. Your Email Address:

* 3. Today's Date:

* 4. Name of the Workshop:

* 5. Names of the facilitators

* 6. The content was engaging and relevant to the goals outlined. Based on this statement, I:

* 7. The purpose and objectives were clearly outlined and executed in this workshop. Based on this statement, I:

* 8. What suggestions do you have to improve this workshop?

* 9. What, if any take-aways did you learn from today's workshop?

* 10. How can the administration support you in improving your practice?