Evaluation Form Facilitator-Addiction Research Chair printable pdf download

Evaluation Form Facilitator-Addiction Research Chair

FACILITATOR FEEDBACK FORM

It is important to get your feedback on today’s workshop. If you could take a few minutes

to complete the following questions, we would be very thankful. It is OK if you do not want

to. If you had a co-facilitator, it is important that you both complete a form.

Please place this sheet in a sealed envelope and send it, along with the participants’

feedback forms, to Dr. Colleen Anne Dell from our research team. Her address is:

Department of Sociology & School of Public Health

1109 Arts Building, 9 Campus Drive

Saskatoon, SK S7N 5A5 Canada

If you have any questions, you can contact Colleen 306- 966-5912 or colleen.dell@usask.ca

Name:

___________________ Co-facilitator: _________________________

Age:

_______

Workshop Facility/Location:_________________________

Gender: (circle): Female

Male

Cultural Background (circle):

First Nations Métis

Inuit Other: ____________

Strongly

Agree

Disagree

Agree

Disagree

Response

WORKSHOP CONTENT

The workshop gave the participants an opportunity

to discuss their healing journeys from substance

abuse.

The workshop taught the participants that how

they see themselves is an important part of their

healing journey.

The workshop taught the participants that

understanding their culture is an important part of

their healing journey.

The workshop taught the participants that stigma

can be harmful to their healing journey.

The workshop gave the participants hope for their

healing journey.

Evaluation Form Facilitator-Addiction Research Chair