AVP MA Workshop Reporting Form
After each workshop please fill out the form. This information will be used in the AVP Massachusetts database for communication and historical purposes.
Date of workshop *
MM
/
DD
/
YYYY
Level of workshop *
Location of workshop? *
Your answer
Kind of workshop *
If advanced what was the focus(s) of the workshop?
Your answer
Lead Facilitator(s): please indicate if any are inside facilitators *
Your answer
Number of participants completing workshop *
Your answer
Names of participants (please press the return key after every name) *
Your answer
Duration of workshop in hours? *
Your answer
Special factors that affected the workshop (and why?) *
Your answer
For Prison workshops, were there any notable concerns with doc staff?
Your answer
For Community workshops, were there any logistical problems or issues particular to the venue?
Your answer
Please write up any new activity your team devised or tried out that went well. Others may want to try it. *
Your answer
Did the facilitator team function well? If no, why not? *
Your answer
This form was filled out by: *
Your answer
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