Download Feedback Form – What Did You Think About the Training? (for Strategy 1)
Participant identification (ID) number (optional):
Circle only one answer for each question 1-10 and 14-18. Write your answers to questions 11-13 and 19-21.
Write your answers to the following questions.
Circle only one answer for each question.
Information on this page is taken from the English print version of “Your Heart, Your Life, A Community Health Worker's Manual.” U.S. Department of Health and Human Services, National Institutes of Health, National Heart Lung and Blood Institute, NIH Publication No. 08-3674, Originally Printed 1999, Revised May 2008.
Last Updated March 2012