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Oct 21 EES 1:30 Stewards of Children Training Evaluation
Tell us a little about yourself and how we did. Please make sure to complete this evaluation and we will send your certificate of participation.
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Email
*
Your email
Date of Training
*
MM
/
DD
/
YYYY
First and Last Name
*
Your answer
Phone Number
Your answer
If you are an RN who would like Contact Hours please check here and notify the facilitator.
Yes
No
Would you like to receive further information and news by email? Please highlight one
Yes
No
If you are here as an employee, volunteer, or member of an organization, please type its name:
Your answer
Please print the name of the county where you live:
Your answer
Please select your age:
18 – 19
20 – 24
25 – 35
36 – 45
46 – 55
56+
Clear selection
Please select your ethnic background.
AFRICAN-AMERICAN
WHITE, NON-HISPANIC
HISPANIC
NATIVE AMERICAN
ASIAN or PACIFIC
OTHER (please specify):
Please select ONE OR MORE of the following terms that may describe you. I am a:
PARENT
GRANDPARENT
FOSTER PARENT
CHILDCARE PROVIDER
SCHOOL TEACHER
SCHOOL COUNSELOR
CHURCH STAFF MEMBER OR VOLUNTEER
CAMP COUNSELOR
SPORTS PROGRAM STAFF
SOCIAL WORKER
GUARDIAN AD LITEM
MENTAL HEALTH PROFESSIONAL
OTHER HEALTHCARE PROFESSIONAL
STUDENT
COMMUNITY VOLUNTEER
RN
OTHER (please specify):_______________________
Other:
If you care for young people at work or at home, what are their ages? Please select ONE OR MORE:
Birth – 4
5 – 9
10 – 14
15 – 19
Did the facilitator KNOW THE TOPIC?
Yes
Somewhat
A little
No
Did the facilitator do a GOOD PRESENTATION?
Yes
Somewhat
A little
No
Do you think this training is VALUABLE?
*
Yes
Somewhat
A little
No
Can you define child sexual abuse?
Yes
No
Clear selection
Can you name some of the signs of possible child sexual abuse
Yes
No
Clear selection
Do you know what proportion of children are abused by age 18?
Yes
No
Clear selection
Do you know some ways to prevent child sexual abuse?
Yes
No
Clear selection
Do you know what the law requires about reporting possible abuse?
Yes
No
Clear selection
How did you hear about this training session?
Your answer
Are there any other companies, churches, schools, or other organizations that you would like us to contact about sponsoring a training session?
Your answer
Please give us any comments or suggestions on how we can improve. Your feedback is reviewed and shared with our funders,
*
Your answer
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