1 Start 2 Complete

Did you serve as a presenter for this session? *

Yes

No

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To what extent were the learning objectives of this session met? *

Not at all met

Partially met

Completely met

Did the presenter appear unbiased and free from commercial interest during the session? *

Yes

No

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What did you like most about this session?

What would you change to improve future sessions?

Please rate the quality of the following from this session. *

	Low Quality	Average Quality	High Quality	N/A

	Low Quality	Average Quality	High Quality	N/A
The content included in the presentation	The content included in the presentation - Low Quality	The content included in the presentation - Average Quality	The content included in the presentation - High Quality	The content included in the presentation - N/A
The supplemental resources provided during the presentation	The supplemental resources provided during the presentation - Low Quality	The supplemental resources provided during the presentation - Average Quality	The supplemental resources provided during the presentation - High Quality	The supplemental resources provided during the presentation - N/A
The presentation of the content by the faculty member	The presentation of the content by the faculty member - Low Quality	The presentation of the content by the faculty member - Average Quality	The presentation of the content by the faculty member - High Quality	The presentation of the content by the faculty member - N/A
Faculty case presentation(s) recommendations	Faculty case presentation(s) recommendations - Low Quality	Faculty case presentation(s) recommendations - Average Quality	Faculty case presentation(s) recommendations - High Quality	Faculty case presentation(s) recommendations - N/A
The overall facilitation of the session	The overall facilitation of the session - Low Quality	The overall facilitation of the session - Average Quality	The overall facilitation of the session - High Quality	The overall facilitation of the session - N/A

How would you rate this session on the following? *

	Too Few	Just Right	Too Many	N/A

	Too Few	Just Right	Too Many	N/A
Opportunities to engage in discussion	Opportunities to engage in discussion - Too Few	Opportunities to engage in discussion - Just Right	Opportunities to engage in discussion - Too Many	Opportunities to engage in discussion - N/A
Opportunities to ask questions	Opportunities to ask questions - Too Few	Opportunities to ask questions - Just Right	Opportunities to ask questions - Too Many	Opportunities to ask questions - N/A

Please indicate the extent to which you agree with the following statements: *

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A
I gained new knowledge as a result of attending this session.	I gained new knowledge as a result of attending this session. - Strongly Disagree	I gained new knowledge as a result of attending this session. - Disagree	I gained new knowledge as a result of attending this session. - Agree	I gained new knowledge as a result of attending this session. - Strongly Agree	I gained new knowledge as a result of attending this session. - N/A
I learned new skills as a result of attending this session.	I learned new skills as a result of attending this session. - Strongly Disagree	I learned new skills as a result of attending this session. - Disagree	I learned new skills as a result of attending this session. - Agree	I learned new skills as a result of attending this session. - Strongly Agree	I learned new skills as a result of attending this session. - N/A
I am confident in my ability to use what I learned from this session in my work environment.	I am confident in my ability to use what I learned from this session in my work environment. - Strongly Disagree	I am confident in my ability to use what I learned from this session in my work environment. - Disagree	I am confident in my ability to use what I learned from this session in my work environment. - Agree	I am confident in my ability to use what I learned from this session in my work environment. - Strongly Agree	I am confident in my ability to use what I learned from this session in my work environment. - N/A

Please indicate the extent to which you agree with the following statements: *

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A
The information presented motivates me to change aspects of my current work habits with peers.	The information presented motivates me to change aspects of my current work habits with peers. - Strongly Disagree	The information presented motivates me to change aspects of my current work habits with peers. - Disagree	The information presented motivates me to change aspects of my current work habits with peers. - Agree	The information presented motivates me to change aspects of my current work habits with peers. - Strongly Agree	The information presented motivates me to change aspects of my current work habits with peers. - N/A
The information presented motivates me to improve my collaborative approach with other care team members when supporting peers in their recovery journey.	The information presented motivates me to improve my collaborative approach with other care team members when supporting peers in their recovery journey. - Strongly Disagree	The information presented motivates me to improve my collaborative approach with other care team members when supporting peers in their recovery journey. - Disagree	The information presented motivates me to improve my collaborative approach with other care team members when supporting peers in their recovery journey. - Agree	The information presented motivates me to improve my collaborative approach with other care team members when supporting peers in their recovery journey. - Strongly Agree	The information presented motivates me to improve my collaborative approach with other care team members when supporting peers in their recovery journey. - N/A
I see a connection between this information and how I work with my peers.	I see a connection between this information and how I work with my peers. - Strongly Disagree	I see a connection between this information and how I work with my peers. - Disagree	I see a connection between this information and how I work with my peers. - Agree	I see a connection between this information and how I work with my peers. - Strongly Agree	I see a connection between this information and how I work with my peers. - N/A

Please indicate the extent to which you agree with the following statements: *

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A
The information presented addressed a Peer Supporter professional gap.	The information presented addressed a Peer Supporter professional gap. - Strongly Disagree	The information presented addressed a Peer Supporter professional gap. - Disagree	The information presented addressed a Peer Supporter professional gap. - Agree	The information presented addressed a Peer Supporter professional gap. - Strongly Agree	The information presented addressed a Peer Supporter professional gap. - N/A
The information that was shared is relevant to my work setting.	The information that was shared is relevant to my work setting. - Strongly Disagree	The information that was shared is relevant to my work setting. - Disagree	The information that was shared is relevant to my work setting. - Agree	The information that was shared is relevant to my work setting. - Strongly Agree	The information that was shared is relevant to my work setting. - N/A
The information presented validated the way I currently support and work with my peers.	The information presented validated the way I currently support and work with my peers. - Strongly Disagree	The information presented validated the way I currently support and work with my peers. - Disagree	The information presented validated the way I currently support and work with my peers. - Agree	The information presented validated the way I currently support and work with my peers. - Strongly Agree	The information presented validated the way I currently support and work with my peers. - N/A
If I apply this information in my role as Peer Supporter, it will likely lead to better outcomes for those I assist.	If I apply this information in my role as Peer Supporter, it will likely lead to better outcomes for those I assist. - Strongly Disagree	If I apply this information in my role as Peer Supporter, it will likely lead to better outcomes for those I assist. - Disagree	If I apply this information in my role as Peer Supporter, it will likely lead to better outcomes for those I assist. - Agree	If I apply this information in my role as Peer Supporter, it will likely lead to better outcomes for those I assist. - Strongly Agree	If I apply this information in my role as Peer Supporter, it will likely lead to better outcomes for those I assist. - N/A

Please list any practice changes you plan on making as a result of what you learned from this session. If you do not plan on making any changes, please write "no changes". *

At the Weitzman Institute, we value inclusiveness, diversity, and mutually respectful dialogue, and we want to ensure that all feel welcome. If there was anything said in our program that made you feel uncomfortable, please let us know here.

Please use this space to list new ideas you have for future session topics or share additional comments.

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