it’s that easy!™

Parent Education Training – Feedback form

  1. Which categories best describe you?(Please check all that apply)

Parent/caregiver of child(ren) aged 0-5 years

Parent/caregiver of child(ren)aged 6-9 years

Parent/ caregiver of child(ren)aged 10-14 years

Parent/caregiver of child(ren)aged 10-14 years

Parent/caregiver of child(ren)aged 19 years older

Other, please describe: ______

______

  1. How many children age 18 years old or younger live in your household?
  1. Are you female or male?

Female

Male

  1. How did you learn about the training?(Please check all that apply)

NewspaperWord of mouth

RadioOnline

Child’s schoolParent group

Community Education Brochure

Other, please describe: ______

Not at all / A little / Somewhat / Very
  1. Prior to this training, how confident were you in your ability to raise sexually healthy children?
/  /  /  / 
  1. After this training, how confident were you in your ability to raise sexually healthy children?
/  /  /  / 
  1. The training was useful for me as a parent

Strongly Disagree

Disagree
Agree

Strongly Agree

As a result of this training… / Strongly Disagree / Disagree / Agree / Strongly Agree
  1. I have a better understanding of the importance of not only discussing, but modeling my values, morals and beliefs about sex, sexuality andrelationships with the children in my care
/  /  /  / 
  1. I am more confident in my ability to identify the important values and messages I would like to pass on to the children I care for about sex, sexuality and relationships
/  /  /  / 
  1. Would you recommend this training to another parent/caregiver?

No

Yes
Maybe

11.What was the most useful part(s) of the training?*______

12. What additional information or training would be helpful to you related to raising sexually healthy children?*______

______

Messages and Modeling: Sharing values and beliefs about sexuality

As a result of this training… / Strongly Disagree / Disagree / Agree / Strongly Agree
8. I have a better understanding of the importance of not only discussing, but modeling my values, morals and beliefs about sex, sexuality and relationships with the children in my care /  /  /  / 
9. I am more confident in my ability to identify the important values and messages I would like to pass on to the children I care for about sex, sexuality and relationships /  /  /  / 

Cuddled and Connected: The parent-child relationship: A foundation for raising sexually healthy children

As a result of this training… / Strongly Disagree / Disagree / Agree / Strongly Agree
8. I have a better understanding of the importance of attachment and connectedness related to the well-being of young people /  /  /  / 
9. I am more confident in my ability to be deliberate in creating opportunities for connection with the children in my care /  /  /  / 

Ages and Stages: Sexual growth and development

As a result of this training,

As a result of this training… / Strongly Disagree / Disagree / Agree / Strongly Agree
8. I have a better understanding of human growth and development /  /  /  / 
9. I am more confident in my ability to answer the questions and ease the concerns of the children I care for related to growth and development /  /  /  / 

TV and Texting: The influence of media, technology and popular culture

As a result of this training… / Strongly Disagree / Disagree / Agree / Strongly Agree
8. I have a better understanding of how parents/
caregivers can help children learn skills to safely navigate through media and popular culture /  /  /  / 
9. I am more confident in my ability to use media and technology as an opportunity to share my values and beliefs with the children in my care /  /  /  / 

*if you run out of space, please continue writing on the back of the page