Report

Please complete this form. If you have any question on how to fill out the form, please contact Christopher Epperson at Christopher.soulshopmovement.org. 

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. Trainer Number

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* 4. Date of the workshop

Date

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* 5. Location of the workshop

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* 6. Number of participants who started the workshop?

0 150

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* 7. Number of participants that finished the workshop?

0 150

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* 8. If your numbers are different above, place tell us why:

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* 9. Did you have a sponsor for this workshop?

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* 10. What in the workshop worked or did not work?  Do you have questions for the Soul Shop™ Team?

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* 11. Was the content presented to Soul Shop™ standards?

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* 12. If no, please explain

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* 13. Did you train with another trainer? Please provide their name. 

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* 14. Have you met one of the following marks in this trainings for the first time?

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* 15. What were the things that stood out, positively or negatively, during the training?

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* 16. Were there any interventions, disruptions or bereavement issues that arose during the workshop? Was there follow up with the person?

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* 17. What goals did you set for yourself for this workshop?

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* 18. Was this workshop delivered on a full day?

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* 19. If no, please tell us about the circumstances.

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* 20. What were the hardest and easiest parts of the workshop for you? Please explain.

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* 21. Regarding future Soul Shops™, is there anyone you need to follow up with who is wanting to host a future Soul Shop™, ASIST, CAST, Youth or Campus? Please provide information and follow up plan. '

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* 22. Please upload your sign-in sheet or registration list here.  You must download this information to receive credit for your workshop. If you are not able to obtain this information from the host. Please let Michelle know via email. 

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Thank you for talking the time to fill out this workshop report. Soul Shop™ will learn from your feedback and use the information to improve as we move forward.