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I feel this content is relevant to my work.
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
I feel confident in my ability to implement this content. 
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
I plan to implement this content.
 
Strongly Agree
 
Agree
 
Disagree
 
Strongly Disagree
 
 
 
Facilitator Feedback: General
 
(4) Exceeds Standards- Completely prepared & anticipated challenges
 
(3) Meets Standards- Completely prepared
 
(2) Approaches Standards- Somewhat prepared
 
(1) Does Not Meet Standards- Not prepared
 
 
 
Facilitator Feedback: Ojbectives
 
(4) Exceeds Standards- Clear; verbal & written; solicited participants' input
 
(3) Meets Standards- Clear; verbal & written form
 
(2) Approaches Standards- Provided in verbal or written form or somewhat unclear
 
(1) Does Not Meet Standards- not communicated or did not match session content
 
 
 
Facilitator Feedback: Collaboration/ Interaction Time
 
(4) Exceeds Standards- Structured, meaningful; enhanced learning
 
(3) Meets Standards- Structure, meaningful
 
(2) Approaches Standards- Unstructured or did not enhance learning
 
(1) Does Not Meet Standards- Not provided
 
 
 
Facilitator Feedback: Participants Questions
 
(4) Exceeds Standards- Answered all questions accurately; made relevant connections
 
(3) Meets Standards- Answered all question accurately
 
(2) Approaches Standards- Answered some questions accurately
 
(1) Does Not Meet Standards- Answered most/ all questions inaccurately; did not attempt
 
 
 
Facilitator Feedback: Pacing
 
(4) Exceeds Standards- Appropriate; demonstrated flexibility
 
(3) Meets Standards- Appropriate
 
(2) Approaches Standards- Somewhat too fast or too slow
 
(1) Does Not Meet Standards- Too fast or too slow
 
 
 
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