JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Final Evaluation Form
Basic Psychosocial Skills
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Full name
*
Your answer
Gender
*
Female
Male
Other/Non-Binary
Prefer not to say
Year of Birth ( YYYY)
Your answer
Current Occupation/Sector of Work
*
Your answer
In which district do you work? ( Select all that may apply)
*
Anuradhapura
Ampara
Batticaloa
Badulla
Colombo
Galle
Gampaha
Hambantota
Jaffna
Kalutara
Kandy
Kegalle
Kilinochchi
Kurunegala
Mannar
Matale
Matara
Monaragala
Mullaitivu
Nuwara Eliya
Polonnaruwa
Puttalam
Ratnapura
Trincomalee
Vavuniya
My work is not specific to a district
I work outside of Sri Lanka
Required
Type of crises you have responded to in a professional or personal capacity(Tick all that apply)
*
COVID-19 Pandemic
Natural disasters (Earthquakes, Floods, Landslides etc)
War, Armed Conflict or Terrorist Attacks
Day to day crisis events (traffic accidents, domestic violence, sudden deaths, etc)
I have not yet responded to any crisis events
Other:
Required
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
