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Intentional Program Design
Putting It All Together: Sharing Your
Own Activities and Assessing
Learning
Feedback Form
You for Youth (Y4Y)
May 7, 2020
1.
What is your primary role with 21st CCLC?
State Coordinator
Project Director
Site Coordinator
Program Staff
Other (please specify)
2.
What grade levels does your program serve? Select all that apply.
Pre-K
Elementary
Middle
High
Other (please specify)
3.
Please rate today's session on the following criteria
Limited
Average
Good
Excellent
Clarity of the information presented
Limited
Average
Good
Excellent
Relevance of the information
Limited
Average
Good
Excellent
Helpfulness of the information
Limited
Average
Good
Excellent
Conciseness of the presentation
Limited
Average
Good
Excellent
Questions were answered
Limited
Average
Good
Excellent
4.
We are always seeking ways to improve our technical assistance and training. Please feel free to provide our Y4Y team with constructive feedback.
5.
Please rate the following statements on a scale of 1 to 4. (1=limited, 2=average, 3=good, 4=excellent)
Before today
After today
My knowledge and understanding of the continuous improvement process.
-- Select an option --
1=limited
2=average
3=good
4=excellent
-- Select an option --
1=limited
2=average
3=good
4=excellent
My knowledge and understanding of tools and resources I can use to develop my own continuous improvement process.
-- Select an option --
1=limited
2=average
3=good
4=excellent
-- Select an option --
1=limited
2=average
3=good
4=excellent
My confidence in developing a continuous improvement process for my program.
-- Select an option --
1=limited
2=average
3=good
4=excellent
-- Select an option --
1=limited
2=average
3=good
4=excellent
6.
List three (3) things you learned in today's training (your take-aways):
1
2
3
7.
List two (2) concepts or strategies you learned today that you will share with a colleague:
1
2
8.
Identify one (1) strategy you learned today that you will use in your own training or practice: