Facilitator Feedback Form

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Facilitator Workshop Feedback Form

FACILITATORS FEEDBACK FORM


Thank you for being involved in the No Apologies® Program. Your time and effort are much appreciated. The
data below is required for statistical purposes and remains a vital source of information for potential sponsors
and for funding applications of the program. To this end, kindly provide as detailed feedback as possible.
Should you wish to add any further information, please type or write your data on a separate page and attach
it to this report when you return it to Wavemakers Inc. Please return this form within 3 days after completing
the workshop to: [email protected]

1. Facilitator Information
The following contact information is required In case we need clarification or more information.
Full Name of Lead Facilitator Email Address Mobile Number

Other Facilitator(s)
Full Name Email Address Mobile Number

2. Workshop Information
Date of Workshop Workshop Setting
Month Day Year q Campus q Church q Community/Org
Workshop Type
q Other _____________________________
Workshop Venue
Name of Venue: Physical Address of Venue:

3. Workshop Statistics
Age of Students Total Number Total Number Total Number
Registered During the Pledge Pledges Made

4. Workshop Survey Responses


Kindly count the responses and write them in their corresponding boxes. Thank you so much!

My parents have shared with me their view about sex & healthy relationships. #Yes: # No:

Do you think pornography exposure is harmful to you? #Yes: # No:

Have you been exposed to pornography? #Yes: # No:

Pre-Survey (Total # _____) Post Survey (Total # _____)

Couples should not live together before marriage. #Agree: #Disagree: #Agree: #Disagree:

Sexual abstinence is possible before marriage. #Agree: #Disagree: #Agree: #Disagree:

The best time to have sex is within marriage. #Agree: #Disagree: #Agree: #Disagree:

© 2015 Wavemakers: No Apologies • Focus on the Family Asia • +63 998 859 1582 • [email protected] Page 1 of 4
SUMMARY: PRE-Workshop Participants’ Survey Forms

In your opinion, when is the right time for a person to have sex?
Reasons for BEFORE Marriage

Reasons for AFTER Marriage

Reasons for Other Answers

© 2015 Wavemakers: No Apologies • Focus on the Family Asia • +63 998 859 1582 • [email protected] Page 2 of 4
Workshop Participant’s Evaluation / Feedback

SUMMARY: POST Workshop Participants’ Survey Forms


What is one thing you will do differently because of the workshop?
eg. 1. I will not have a boyfriend until I start working.
2. I will not have sex before marriage

What improvements would you suggest to make the workshop more


effective?
eg. 1. It is very good already.
2. Every student must go through this program.

© 2015 Wavemakers: No Apologies • Focus on the Family Asia • +63 998 859 1582 • [email protected] Page 3 of 4
Facilitator Evaluation / Feedback
Highlights / Stories eg. Personal rewards. Impact comments from students, Uplifting moments

Suggestions / Comments
eg. What worked / didn't work well? Challenges?
New ideas / activities?

Thank you for your feedback.


Please return this FEEDBACK FORM and share your 5 BEST PHOTOS (group photo, action photo, etc)
within 3 days after completing the workshop to:
WAVEMAKERS: No Apologies
Fax: +639988591582 Email: [email protected]

© 2015 Wavemakers: No Apologies • Focus on the Family Asia • +63 998 859 1582 • [email protected] Page 4 of 4

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