Presenter Feedback Form

Transcription

1 The Pillowcase Project Learn. Practice. Share. Presenter Feedback Form Instructions: Each presenter completes this form at the end of the presentation and returns it to their Chapter along with Student Pre/Post Assessments and, if applicable, an Observation Feedback Form from the presentation. Title of Presentation The Pillowcase Project City and State (of Presentation) Name of Your American Red Cross Chapter Your Name Date of Course Your Status With the Red Cross (volunteer, paid staff, other) Your Age c c c c 65+ Number of Youth Attendees Name of Attendees School, Institution, or Group 1. Overall The training for this curriculum provided you with the knowledge needed to deliver the presentation. c Strongly Disagree c Disagree c Agree c Strongly Agree The participant materials for this curriculum (pillowcases, markers, posters, workbook, presenter s guide, leavebehinds for teachers) were useful in presenting the learning objectives. c Strongly Disagree c Disagree c Agree c Strongly Agree Please provide details for any above that you marked Disagree or Strongly Disagree : Were you able to complete all required activities within the presentation timeframe? Were you able to deliver the presentation based on your original curriculum plan? If No, in what ways did you deviate from your original curriculum plan? Would you be interested in presenting for The Pillowcase Project again? 2. Curriculum Requirements Please indicate whether or not you were able to meeting the minimum requirements as per the curriculum guidelines for the following components: Opening, Pre-Assessment & Steps to Preparedness Home Fire Preparedness Which practice activity had you planned to present? Which practice activity did you actually present? Which sharing activity did you plan to present? Which sharing activity did you actually present? Coping Skills: Breathing with Color Coping Skills: Symbol of Strength

2 Large-Scale/Community Emergency Which hazard supplement did you present? Which practice activity did you plan to present? Which practice activity did you actually present? Which sharing activity did you plan to present? Which sharing activity did you actually present? Family & Personal Preparedness Pillowcase Coloring/Decorating Preparedness Pledge For any you marked No, why were you not able to meet the minimum requirement? 3. Your Assessment Please indicate your impression of how well each section of the course material went during the presentation: Opening & Pre-Assessment Home Fire Preparedness Coping Skills Large-Scale/Community Emergencies Preparedness Planning Post-Assessment & Conclusion What would have helped to improve any sections you rated Negative or Very Negative? 4. Comfort Please indicate how comfortable you felt presenting the following sections of the curriculum: Home Fires c Extremely Uncomfortable c Uncomfortable c Comfortable c Extremely Comfortable Coping Skills c Extremely Uncomfortable c Uncomfortable c Comfortable c Extremely Comfortable Large-Scale/Community Emergency c Extremely Uncomfortable c Uncomfortable c Comfortable c Extremely Comfortable What would have helped you feel more comfortable? 5. Other Comments or Feedback

3 The Pillowcase Project Learn. Practice. Share. Observer Feedback Form Instructions: Each observer (either a representative from NHQ or a chapter staff member serving in an observation capacity during the presentation) completes this form during the presentation and returns it, with the Presenter Feedback Forms and Student Pre/Post Assessments to YMI via chapter staff. Title of Presentation The Pillowcase Project Your Name City and State (of Presentation) Date of Presentation 1. Curriculum Requirements Please indicate whether or not the following sections were included in the presentation: Opening, Pre-Assessment & Steps to Preparedness Home Fire Preparedness Discussion Home Fire Preparedness Practice Activity Home Fire Preparedness Sharing Activity Coping Skills: Breathing with Color Coping Skills: Symbol of Strength Local Hazard Discussion (earthquake, tsunami, etc.) Local Hazard Practice Activity Local Hazard Sharing Activity Family & Personal Preparedness Pillowcases Coloring/Decorating Preparedness Pledge 2. Presentation Timing Please indicate whether or not the presenter was able to deliver the following components within the suggested presentation timeframe: Opening, Pre-Assessment & Steps to Preparedness (15 min) Home Fire Preparedness (15 min) Coping Skills (5 min) Large-Scale/Community Emergency (10 min) Family & Personal Preparedness (10 min) Post-Assessment, Pillowcases & Wrap-up (5 min) For any you marked No, why was the timeframe problematic?

4 3. Teacher Engagement Was the teacher present during the entire presentation? If Yes, was the teacher engaged during the presentation? If Yes, by the end of the presentation, had the teacher hung any of the posters up? If Yes, was the teacher open to follow-up via or phone? Please describe the teacher engagement and provide teacher contact information, if possible: 4. Student Engagement Did the students seem engaged during the presentation? Did any of the students need help with assessment forms? Did any of the students have a visible adverse reaction to the course material or activities? If a student did have a visible adverse reaction, how was this handled? 5. Your Assessment Please indicate your reaction to how well each section of the course material went during the presentation: Opening Pre-Assessment Steps to Preparedness Home Fire Preparedness Coping Skills Preparedness Planning Post-Assessment & Conclusion What would have helped to improve any sections you rated Negative or Very Negative? 6. Other Comments or Observations

5 The Pillowcase Project Learn. Practice. Share. Presenter Training Evaluation Instructions: Each participant in the Presenter Training completes this form and returns to chapter staff. Chapter staff will return evaluation to YMI with Presenter Feedback form, Observation Feedback form, and Student Pre/Post Assessments. Title of Course The Pillowcase Project Presenter Training City and State (where course was held) Name of Your Chapter, Unit or Agency Your Position Title Inclusive Dates of Course Your Status With the Red Cross c Volunteer c Paid Employee Your evaluation of the course (Indicate your reaction to the course material and presentation using a scale of 1-5, 5 being the highest value. Check the box for the value of your choice for each question.) A. Did the course meet the described course purpose? B. Did the course provide you with the knowledge you feel you need to perform the intended function? C. Did the course teach you the skills you feel you need to perform the intended function? D. Were the participant materials useful in understanding and accomplishing the learning objectives? E. Was the course presented at a level and pace suitable for your interest and understanding? F. Were the methods used in presenting the course interesting and effective? Your evaluation of the training material (Indicate your reaction to the clarity of the training materials for this course using a scale of 1-5, 5 being the highest value. For each section of the course material, check the box for the value of your choice.) Instructor Name: A. Overview of The Pillowcase Project History, Disney Relationship, Project Goals, Target Audience B. Presentation Skills Public speaking, talking about disasters and the Red Cross C. Preparing the Presentation D. Learning Objectives & Components of the Curriculum Presentation, Workbook, Family Engagement, Posters, Presenter s Guide E. Handling Emotional Questions, Answers, Stories, & Fears F. Home Fire Preparedness Key Facts and Activities G. Coping Skills H. Local Hazard Supplement Key Facts and Protective Actions

6 Instructor Name: I. Family & Personal Preparedness Communications plan, Emergency contact cards, Emergency kit J. Pillowcases & Wrap-up Activity & Your kit For any sections that you marked below a 3, what would improve them? How prepared do you feel to present the Home Fires material to a group of youth? How prepared do you feel to present the Coping Skills material to a group of youth? How prepared do you feel to present the Local Hazard material to a group of youth? How prepared do you feel to present the Protective Actions activities to a group of youth? What would make you feel more prepared? How prepared do you feel to explain the The Pillowcase Project curriculum to an educator or a parent? What would make you feel more prepared? What comments would you like to share concerning the time, location, physical setting, materials, or content of this course? Your Name (Optional)