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2013
October
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Participant Questionnaire
Participant Questionnaire
Participant Name: ___________________________________
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Dear Workshop Participant,
In an effort to improve our services including future training events, we ask that you please take a few moments to complete this questionnaire.
Your survey responses will be used to enhance future programs and will remain confidential.
Thank You
How would you rate the difficulty level of the material taught at the workshop?
Very Difficult
Difficult
Somewhat Difficult
Not Difficult
How would you best rate your experience of the presentation? Please check all answers that apply.
Workshop was too long
I would have liked to receive more information about ____________________
I learned a lot and plan to implement what I learned in my work/life
I totally enjoyed the workshop
I learned a lot but I'm not sure how it applies to my life/work
Everything I learned at the workshop was new to me
I'm trained to in the principles of ABA and the information in the workshop was already familiar to me
Other
Thank you for your feedback. Please feel free to use the back of this page to add additional comments.
The following questions will provide us with information about you so that we may contact you in the event of future openings at our agency.
Do you enjoy working with children with special needs?
Do you have experience working with children? If yes please list.
Are you available to work with a child with special needs? If yes, please list days of week and hours of days available.
Would you be willing to travel within a half hour distance?
Do you have your own means of transportation?
Do you speak Yiddish?
Master Faster 220 West Parkway Unit 4 Pompton Plains, NJ 07444 Phone: 201-416-7337 Fax: 201-490-8822 Email:
[email protected]
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