Showcase Feedback Form
You for Youth (Y4Y)


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* 1. What is your primary role with 21st CCLC?

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* 2. What grade levels does your program serve? Select all that apply.

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* 3. Which of the following best describes the area you program serves?

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* 4. How familiar are you with You for Youth (Y4Y)?

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* 5. Please rate your confidence to transfer the knowledge and/or skills you learned in today’s session:

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* 6. To what extent were the following objectives achieved?

  Completely Considerably Moderately Slightly Not At All
Identify national standards for healthy eating and physical activity
Share best practices for effective activity facilitation
Discuss how to promote healthy behaviors through your program schedule

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* 7. Please rate today's session on the following criteria

  Excellent Good Average Limited Poor
Activities designed to practice new knowledge and/or skills
Relevance of the information to my work
Questions were answered
Helpfulness of the information to improve my job
performance
Usefulness of tools and resources
Time allotted for the presentation

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* 8. If you rated any of the above with a 1, please explain:

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* 9. List any concepts or strategies you learned today that you are excited to share with a colleague or will use in your program:

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* 10. We are always seeking ways to improve our technical assistance and training. Please feel free to provide our Y4Y team with constructive feedback.

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* 11. Is there anything you wish we had spent more time talking about?

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* 12. What showcase webinar topics would you like to see in the future?

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* 13. Please share any additional thoughts, ideas or questions:

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