Facilitator Implementation Log
Session 1: We’re All in This Together
Facilitator 1: ______Facilitator 2: ______
Session date: ____ / ____ / ____ Session location: ______
Start time: ______a.m./p.m. End time: ______a.m./p.m.
Number of participants: _____ Gender (circle one): M F Mixed
General session comments (e.g., room cold/warm, outside noise, environmental distractions, youth arriving late or leaving early, relationships among youth, a lot of off-topic side discussions, etc.):
Describe any materials or activities added:
Instructions: Check one box for each activity. Describe any modifications, reasons for modifications, youth reaction and participation, facilitator confusion, etc. Note the order in which activities were presented
Activity 1: Introduction game
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 5: Family Tree
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 2: Program Overview
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 6: SODA Decision-Making Model
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 3: Group Cohesion Activity
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: (Please indicate which activity you did) / Activity 7: Wrap-Up and Closing Ritual
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 4: Establishing Group Agreements
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Youth Engagement:
q Most engaged
q Some engaged
q Few or none engaged
Facilitator 1 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Facilitator 2 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Focus on Youth Evaluation Field Guide—September 2008 1
Facilitator Implementation Log
Session 2: Risks and Values
Facilitator 1: ______Facilitator 2: ______
Session date: ____ / ____ / ____ Session location: ______
Start time: ______a.m./p.m. End time: ______a.m./p.m.
Number of participants: _____ Gender (circle one): M F Mixed
General session comments (e.g., room cold/warm, outside noise, environmental distractions, youth arriving late or leaving early, relationships among youth, a lot of off-topic side discussions, etc.):
Describe any materials or activities added:
Instructions: Check one box for each activity. Describe any modifications, reasons for modifications, youth reaction and participation, facilitator confusion, etc.
Activity 1: Opening Ritual and Review
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 5: Rank Your Values
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 2: How Risky Is It?
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 6: Values Voting
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 3: Why Do People Feel Vulnerable?
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 7: Wrap-Up and Closing Ritual
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 4: Defining a Value
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Youth Engagement:
q Most engaged
q Some engaged
q Few or none engaged
Facilitator 1 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Facilitator 2 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Focus on Youth Evaluation Field Guide—September 2008 1
Facilitator Implementation Log
Session 3: Educate Yourself: Obtaining Information
Facilitator 1: ______Facilitator 2: ______
Session date: ____ / ____ / ____ Session location: ______
Start time: ______a.m./p.m. End time: ______a.m./p.m.
Number of participants: _____ Gender (circle one): M F Mixed
General session comments (e.g., room cold/warm, outside noise, environmental distractions, youth arriving late or leaving early, relationships among youth, a lot of off-topic side discussions, etc.):
Describe any materials or activities added:
Instructions: Check one box for each activity. Describe any modifications, reasons for modifications, youth reaction and participation, facilitator confusion, etc.
Activity 1: Opening Ritual and Review
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 5: The Advice Columnist: What Teens Want to Know
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 2: SODA Decision-Making Model Step 2
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 6: Challenge: Check It Out!
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 3: Resources: Finding Information for Good Decisions
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 7: Wrap-Up and Closing Ritual
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 4: Trusted Guardian/Adult Resource
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Youth Engagement:
q Most engaged
q Some engaged
q Few or none engaged
Facilitator 1 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Facilitator 2 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Focus on Youth Evaluation Field Guide—September 2008 1
Facilitator Implementation Log
Session 4: Educate Yourself: Examining Consequences
Facilitator 1: ______Facilitator 2: ______
Session date: ____ / ____ / ____ Session location: ______
Start time: ______a.m./p.m. End time: ______a.m./p.m.
Number of participants: _____ Gender (circle one): M F Mixed
General session comments (e.g., room cold/warm, outside noise, environmental distractions, youth arriving late or leaving early, relationships among youth, a lot of off-topic side discussions, etc.):
Describe any materials or activities added:
Instructions: Check one box for each activity. Describe any modifications, reasons for modifications, youth reaction and participation, facilitator confusion, etc.
Activity 1: Opening Ritual and Review
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 5: SODA Decision-Making Model Step 3
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 2: Number Game: How Many Teens Are Really…?
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 6: More Challenges!
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 3: Condom Demonstration /Condom Card Activity
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 7: Wrap-Up and Closing Ritual
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 4: Hands-On Condom Race/Condom Card Race
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Youth Engagement:
q Most engaged
q Some engaged
q Few or none engaged
Facilitator 1 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Facilitator 2 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Focus on Youth Evaluation Field Guide—September 2008 1
Facilitator Implementation Log
Session 5: Build Skills: Communication
Facilitator 1: ______Facilitator 2: ______
Session date: ____ / ____ / ____ Session location: ______
Start time: ______a.m./p.m. End time: ______a.m./p.m.
Number of participants: _____ Gender (circle one): M F Mixed
General session comments (e.g., room cold/warm, outside noise, environmental distractions, youth arriving late or leaving early, relationships among youth, a lot of off-topic side discussions, etc.):
Describe any materials or activities added:
Instructions: Check one box for each activity. Describe any modifications, reasons for modifications, youth reaction and participation, facilitator confusion, etc.
Activity 1: Opening Ritual and Review
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 4: Communication Styles
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 2: SODA Decision-Making Model Step 4
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 5: Sex: A Decision for Two
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 3: Communication Game
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 6: Wrap-Up and Closing Ritual
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Youth Engagement:
q Most engaged
q Some engaged
q Few or none engaged
Facilitator 1 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Facilitator 2 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Focus on Youth Evaluation Field Guide—September 2008 1
Facilitator Implementation Log
Session 6: Sexual Health and Showing You Care Without Having Sex
Facilitator 1: ______Facilitator 2: ______
Session date: ____ / ____ / ____ Session location: ______
Start time: ______a.m./p.m. End time: ______a.m./p.m.
Number of participants: _____ Gender (circle one): M F Mixed
General session comments (e.g., room cold/warm, outside noise, environmental distractions, youth arriving late or leaving early, relationships among youth, a lot of off-topic side discussions, etc.):
Describe any materials or activities added:
Instructions: Check one box for each activity. Describe any modifications, reasons for modifications, youth reaction and participation, facilitator confusion, etc.
Activity 1: Opening Ritual and Review
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 5: Safer Sex and Contraception
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 2: Ways to Show You Care
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 6: Challenges: Being-a-Parent Interviews
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 3: Resources: “Ways to Show You Care” Role Play
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 7: Wrap-Up and Closing Ritual
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 4: HIV Transmission Game
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Youth Engagement:
q Most engaged
q Some engaged
q Few or none engaged
Facilitator 1 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Facilitator 2 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Focus on Youth Evaluation Field Guide—September 2008 1
Facilitator Implementation Log
Session 7: Attitudes and Skills for Sexual Health
Facilitator 1: ______Facilitator 2: ______
Session date: ____ / ____ / ____ Session location: ______
Start time: ______a.m./p.m. End time: ______a.m./p.m.
Number of participants: _____ Gender (circle one): M F Mixed
General session comments (e.g., room cold/warm, outside noise, environmental distractions, youth arriving late or leaving early, relationships among youth, a lot of off-topic side discussions, etc.):
Describe any materials or activities added:
Instructions: Check one box for each activity. Describe any modifications, reasons for modifications, youth reaction and participation, facilitator confusion, etc.
Activity 1: Opening Ritual and Review
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 4: Goal Setting: Obstacles and Support
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 2: HIV Positive Speaker or Video
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 5: Role Play: Saying NO or Asking to Use a Condom
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 3: Goal Setting for My Future
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 6: Wrap-Up and Closing Ritual
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Youth Engagement:
q Most engaged
q Some engaged
q Few or none engaged
Facilitator 1 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Facilitator 2 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Focus on Youth Evaluation Field Guide—September 2008 1
Facilitator Implementation Log
Session 8: Review and Community Project
Facilitator 1: ______Facilitator 2: ______
Session date: ____ / ____ / ____ Session location: ______
Start time: ______a.m./p.m. End time: ______a.m./p.m.
Number of participants: _____ Gender (circle one): M F Mixed
General session comments (e.g., room cold/warm, outside noise, environmental distractions, youth arriving late or leaving early, relationships among youth, a lot of off-topic side discussions, etc.):
Describe any materials or activities added:
Instructions: Check one box for each activity. Describe any modifications, reasons for modifications, youth reaction and participation, facilitator confusion, etc.
Activity 1: Opening Ritual and Review
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 5: Pat on the Back
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 2: What Are You Concerned About?
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 6: Community Project Discussion
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 3: What Youth Can Do
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Activity 7: Wrap-Up and Closing Ritual
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes:
Activity 4: The Knowledge Feud
q Taught as suggested ______
q Taught with changes (order)
q Did not teach
Notes: / Youth Engagement:
q Most engaged
q Some engaged
q Few or none engaged
Facilitator 1 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Facilitator 2 comfort with session:
q Very comfortable
q Comfortable / q A little comfortable
q Not comfortable
Focus on Youth Evaluation Field Guide—September 2008 2