Page 80 - Creating a Community of Resiliency

Appendix D. Training Evaluation
Does not apply. I am a child care provider.
Strongly Disagree
Disagree
Agree
Strongly Agree
Because of this training, I am prepared to give early care and education providers the same training I participated in today.
(Please circle your response to the right.)
1. Two things I plan on doing in my child care program or agency as a result of what I learned in this training are:
2. How can this training be improved?
3. What is YOUR Age? (Please Check 1 Only)
 Under 18 years  18-25 years
 26-35 years
 36-45 years
 46+ years
4. What is your primary language spoken at home (Please Check 1 Only)
 English  Spanish Chinese  Other:____________________
5. What is your ethnicity?
 Black or African American  Asian/ Pacific Islander
 White or Caucasian
 Latino/ Hispanic
 Other: ___________
6. What is your involvement in the early care and education field? (Please Check 1 Only)
 License-exempt child care provider / child care provider without a license  Family child care provider
 Center-based staff / teacher
 Resource and Referral staff member / Trainer
 Other: ___________
7. How many families do you serve in your program?
I serve: _____ (# of families) families
 This question does not apply to me. I am not a child care provider
8. Please tell us how many children from each age group you serve in your program. Write the number of children in the line next to each age group you serve.
I serve: _____ (# of children) Under 3 years old
_____ (# of children) 3 to 5 years old
_____ (# of children) 6 years and older
 This question does not apply to me. I am not a child care provider.
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