2. Were CLWD topics right for you? Please check a response for each
chapter to
show how helpful it was for you. |
|
a. Improving the Quality of
Your Life
How helpful was this chapter? |
Please
check only one response
5 4 3
2
1
Very
Somewhat Not at all |
|
Comments:
|
|
b. Promoting Healthy
Lifestyles
How helpful was this
chapter? |
Please
check only one response
5 4 3
2
1
Very Somewhat Not
at all |
|
Comments:
|
|
c. Being Safe
How helpful was this
chapter? |
Please
check only one response
5 4 3
2
1
Very Somewhat Not
at all |
|
Comments:
|
|
d. Self-esteem
and disability pride
How helpful was this
chapter? |
Please
check only one response
5 4 3
2
1
Very Somewhat Not
at all |
|
Comments:
|
3. Overall, were your
skills or
knowledge increased through this
training? |
Please
check only one response
5 4 3
2
1
Yes
Somewhat
No |
|
Comments:
|
|
4.
Did the
facilitators make you feel comfortable and include you in
the discussions?
|
Please check
only one response
5 4 3
2
1
Yes Somewhat No |
|
Comments:
|
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4a. Did
the facilitators know their subject?
|
Please check only one
response
5 4 3
2
1
Yes Somewhat No |
|
Comments:
|
|
4b. Were facilitators good at
presenting information? |
Please check only one
response
5 4 3
2
1
Yes Somewhat No |
|
Comments:
|
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5.
4c. Any other comments about the
facilitators for this program?
|
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5. Did you get the
accommodation (for PAS, interpreters, materials in
readable formats, etc.) you requested?
Yes
No
What accommodations did you need?
|
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6. Did staff help you get transportation to classes?
Yes
No |
|
If yes, how important for you was
transportation, in terms of being able to attend CLWD? |
Please check
only one response
5 4 3
2 1
Very Somewhat Not at all |
|
7. Was the location of
CLWD accessible
for you?
Yes
No - Please tell us
why:
|
|
8.
How did you like having four sessions
to cover the CLWD material?
Please
check only one response
Too
long, material could have been covered in 2 or 3
sessions
We were rushed; material needed 5 or 6 sessions
Just
about right
|
|
9. How
did you like having class once each month?
Please
check only one response
Too long between classes; I’d rather come every
week or
two
Not enough time
between classes; I’d rather come
about every 2 months
Just
about right
|
|
10. How important to you was
“peer
support” from other participants?
|
Please check only one
response
5 4 3
2
1
Very Somewhat Not at all |
Comments:
|
11. How satisfied were you with the
Continuing to Live Well with a
Disability Manual? |
Please check only one response
5 4 3
2
1
Very Somewhat Not
satisfied satisfied satisfied |
Comments:
|
12. How
satisfied were you with the
Continuing to Live Well with a
Disability handouts?
|
Please check only one response
5 4 3
2
1
Very Somewhat Not
satisfied satisfied satisfied |
|
Comments:
|
13. Would it help you reach your goals if you could stay in touch with other
participants
from your class after CLWD training?
Please
check only one response
Yes
No
Maybe
|
14. Would it help you reach
your goals if you could stay in touch with
facilitators from your class after CLWD training?
Please
check only one response
Yes
No
Maybe
|
|
15. Is
there something else that would help you continue the work
you began in LWD and CLWD?
Yes No
If yes, please tell us
what that would be:
|
|
16. Now
that you have completed LWD and CLWD training,
would you attend more classes if they were available?
Yes
No
Depends
on:
|
17. Would you like to have
training on other topics?
Yes
No
If yes, please list
those topics below.
1.
2.
|
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18. Would you recommend CLWD to other
people with disabilities?
Yes No I have already told others about CLWD
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19. Please tell us what we could do to
improve future CLWD training:
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THANK-YOU!! |
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