King County 4-H Resource Request Follow-Up Form
Tell us about how you used the resources and the experience your group had. We will use this information to help improve other group’s experience with these materials.
Name (First and Last) *
Your answer
Email address *
Your answer
Role (e.g., teacher, 4-H leader) *
Your answer
Participation Information
Number of people who used the resources you requested.
Youth *
Your answer
Youth Leaders *
Your answer
Adult Leaders *
Your answer
Have you completed a Washington 4-H Group Enrollment Form? *
If your answer is no, please do it now: http://cru.cahe.wsu.edu/CEPublications/c0626E/C0626E_fillable.pdf Email the completed form to Kevin Wright at wrightkc@wsu.edu
Implementation Experience
What resources did you check out from King County 4-H? *
Your answer
Tell us about how your group used these resources *
Your answer
What were your goals for these resources? What did you hope the youth would get out of the experience? *
Your answer
Where did you hold activities? What venue and in what city? *
Your answer
How many sessions and hours did you spend using these resources with youth? *
Your answer
Did you use these resources as planned on the request form? If not, how did you use them? *
Your answer
What was most REWARDING for you when using these resources with youth? *
Your answer
What was most CHALLENGING for you when using these resources with youth? *
Your answer
What did the youth enjoy most about using these resources? *
Your answer
What was most challenging for the youth? *
Your answer
Would you do use this activity / curriculum / kit again? What would help you next time? *
Your answer
Any other comments or feedback about your experience using these materials? *
Your answer
If you had a positive experience partnering with 4-H and using these resources, please provide a short testimonial (one paragraph) about your experience and how it added value to your group.
For examples of testimonials we have received, see: http://king.wsu.edu/4-h-testimonials
Your answer
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