PeerZone USA & Canada Workshop and Toolkit Facilitator Survey

Instructions for Facilitators

Please fill in one facilitator feedback form per workshop - even when there is more than one facilitator. Thank you for your time and feedback!

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* 1. Facilitator name(s)

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* 2. Did you facilitate a Toolkit or Workshop?

Toolkit

Workshop

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* 3. Workshop title:

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* 4. Toolkit title:

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* 5. When did this group take place?

Date / Time

Date

Time

AM/PM

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* 6. How was today's PeerZone group delivered?

Face-to-face/in-person

Virtual platform (Zoom, Teams, other)

Other (please specify)

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* 7. Country

USA

Canada

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* 8. Please share your state or province.

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* 9. How many people attended your group?

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 10. I addressed the following during the workshop...

I explained the purpose

I went through the group guidelines inviting participants to add to these

I drew on my lived experience for the benefit of the group and to enhance the topic

I encouraged participants to support each other outside the group

I directed participants to the PeerZone website

I used the PeerZone slides (with a projector, via screen share, or as handouts)

I gave handouts to the participants

I invited participants to give feedback after the group

PeerZone USA & Canada Workshop and Toolkit Facilitator Survey

Instructions for Facilitators

Question Title

* 1. Facilitator name(s)

Question Title

* 2. Did you facilitate a Toolkit or Workshop?

Question Title

* 3. Workshop title:

Question Title

* 4. Toolkit title:

Question Title

* 5. When did this group take place?

Question Title

* 6. How was today's PeerZone group delivered?

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* 7. Country

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* 8. Please share your state or province.

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* 9. How many people attended your group?

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* 10. I addressed the following during the workshop...

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* 11. What parts of the workshop worked well?

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* 12. What parts of the workshop didn't work so well?

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* 13. Do you have any suggestions for improvements for the workshop?