Peer Counselor Care Plan Training Evaluation

Please complete the evaluation for the Peer Counselor Care Plan Training to verify completion of training. You must click "Submit" at the bottom of the page to complete evaluation.

* Indicates required field.

Contact Information

First Name *

Last Name *

Preferred Name (optional)

Email Address *

Please confirm email address *

Employer Information

Select the name of the local WIC agency where you are employed from the drop-down list below *

Select your position title from the list below.
Check all that apply. *

Evaluation

Please choose the best answer for each of the following. *

	Strongly Agree	Agree	Disagree	Neutral	Strongly Disagree	N/A
The training is relevant and useful	Strongly Agree	Agree	Disagree	Neutral	Strongly Disagree	N/A
The training description accurately described the training content	Strongly Agree	Agree	Disagree	Neutral	Strongly Disagree	N/A
Knowledge checks were based on material covered	Strongly Agree	Agree	Disagree	Neutral	Strongly Disagree	N/A
The training increased my knowledge of the subject matter	Strongly Agree	Agree	Disagree	Neutral	Strongly Disagree	N/A
This training helped me feel prepared in my role as a Peer Counselor	Strongly Agree	Agree	Disagree	Neutral	Strongly Disagree	N/A

How would you rate the difficulty of this training? *

How long did it take you to complete this training? (Enter hours and minutes) *

What was most helpful to learn about your role in this training? *

What do you suggest to improve this training? *

General Comments (Optional)