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Pre-Workshop Reflection form
Please fill out this form before we start the workshop.
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What is your role?
Your answer
Number of years as an educator, youth leader, etc.
First year educator, youth leader, etc.
2 - 5 years
6 - 10 years
11 - 15 years
16 - 20 years
20+ years
Clear selection
Location of Workshop (virtual OR physical location incl city and province)
Your answer
On a scale of 1 - 10, what is your current stress level? Where 1 is no stress to 10 is high stress.
No stress
1
2
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4
5
6
7
8
9
10
High stress
Clear selection
On a scale of 1 - 10, what is your current classroom environment like? Where 1 is calm and 10 is highly disruptive.
Calm
1
2
3
4
5
6
7
8
9
10
Highly disruptive
Clear selection
On a scale of 1 - 10, how are you coping? Where 1 is doing well and 10 is not doing well.
I'm doing well
1
2
3
4
5
6
7
8
9
10
I'm not doing well at all
Clear selection
On a scale of 1 - 10, what is your level of optimism for the remainder of the school year? Where 1 is very optimistic and 10 is pessimistic.
optimistic
1
2
3
4
5
6
7
8
9
10
pessimistic
Clear selection
Any other comments or information you would like to share with us?
AND/OR
What are you hoping to get out of this workshop?
Your answer
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