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Resilience Screening Evaluation
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* Indicates required question
Date of screening
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MM
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DD
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YYYY
Screening location
Your answer
Prior to this film screening and discussion, please indicate your level of knowledge/understanding of trauma and resilience.
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Very little understanding
1
2
3
4
5
Very informed. I could explain the basic concepts to others.
Please read each statement below and indicate how strongly you agree or disagree with each statement.
All statements are based on a 5-point scale with 1 indicating that you "strongly disagree" and 5 meaning you "strongly agree."
The facilitators created a safe space that was comfortable to explore the topics.
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Strongly disagree
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2
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4
5
Strongly agree
Because of the film screening and discussion, I can better define trauma and recognize the signs and symptoms.
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Strongly disagree
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2
3
4
5
Strongly agree
Because of the film screening and discussion, I gained a better understanding of the impact that trauma can have on brain development and behavior.
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Strongly disagree
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4
5
Strongly agree
As a result of what you learned during the film screening and discussion, will your approach to your work change in any way?
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Yes
No
Because of what I learned during the film and discussion, I will:
Your answer
Additional comments and feedback:
Your answer
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