ALS Ice Bucket Challenge Progress
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Boot Camp Evaluation
The feedback you give allows us to continually adapt training to better suit your needs. We would appreciate it if you could spend a few minutes filling in this form after completing the Boot Camp. The feedback you provide may be used to improve upon or help spread the word about the ALS Caregiver Boot Camp program. At the end of the survey, you have the OPTION of providing your name and email address in order to be sent a sunflower pin for completing the boot camp program. This is not required to complete the survey.
*
1.
Question - Required -
Overall Verdict
1 (Poor)
2
3
4 (Excellent/Useful)
2.
Question - Not Required -
Training Structure
1 (Poor)
2
3
4 (Excellent/Useful)
3.
Question - Not Required -
Training Content
1 (Poor)
2
3
4 (Excellent/Useful)
4.
Question - Not Required -
Quality of Handouts
1 (Poor)
2
3
4 (Excellent/Useful)
5.
Question - Not Required -
Session Length
1 (Poor)
2
3
4 (Excellent/Useful)
6.
Question - Not Required -
Trainers
1 (Poor)
2
3
4 (Excellent/Useful)
7.
Question - Not Required -
Virtual Platform
1 (Poor)
2
3
4 (Excellent/Useful)
8.
Question - Not Required -
Pace of Training
1 (Poor)
2
3
4 (Excellent/Useful)
9.
Question - Not Required -
Equipment Deomonstrated
1 (Poor)
2
3
4 (Excellent/Useful)
10.
Question - Not Required -
I feel more confident as a caregiver.
1 (False)
2
3
4 (True)
11.
Question - Not Required -
I learned about something I didn't know was available to help.
1 (False)
2
3
4 (True)
12.
Question - Not Required -
I am glad I attended.
1 (False)
2
3
4 (True)
13.
Question - Not Required -
What did you like about Boot Camp?
14.
Question - Not Required -
What do you think could be improved?
15.
Question - Not Required -
Your Name (OPTIONAL)
16.
Question - Not Required -
You Email Address (OPTIONAL)
17.
Question - Not Required -
Your address (OPTIONAL)
Thank you!
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