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Online Alcohol Abuse Prevention Training
Suicide Prevention and Mental Wellness
Youth Tobacco Use and Vaping Prevention
Youth Substance Abuse Prevention
Cart
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Online Prevention Trainings
Online Alcohol Abuse Prevention Training
Suicide Prevention and Mental Wellness
Youth Tobacco Use and Vaping Prevention
Youth Substance Abuse Prevention
Resources
Coalition News
Mission
Coalition Members
Impact
Events
Volunteer
Contact
Strengthening community collaboratives to promote positive youth development and community revitalization.
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Coalition for Urban Youth and Family Development Coalition Feedback Form
I am a...
Select one CIA = Coalition Involvement Agreement, MOU = Memorandum of Understanding, LOA = Letter of Agreement
Coalition Member with CIA
Coalition Member without CIA
Community Partner Representative with MOU/LOA
Community Partner Representative without MOU/LOA
Guest
How many meetings have you attended?
1st Timer
2 to 5
6 to 9
10 or more
Did the meeting start on time?
Yes
No
Was the agenda available ahead of time?
Yes
No
Did the meeting end on time?
Yes
No
Everyone had the opportunity to request time on the agenda.
Please rate the following statements by placing a check mark in the corresponding box.
Strongly Agree
Agree
Neither
Agree nor Disagree
Disagree
Strongly Disagree
All members had an opportunity to be heard without fear of being “put down”.
Please rate the following statements by placing a check mark in the corresponding box.
Strongly Agree
Agree
Neither
Agree nor Disagree
Disagree
Strongly Disagree
Members feel comfortable asking questions or requesting to have information clarified.
Please rate the following statements by placing a check mark in the corresponding box.
Strongly Agree
Agree
Neither
Agree nor Disagree
Disagree
Strongly Disagree
Members are called upon in a fair manner.
Please rate the following statements by placing a check mark in the corresponding box.
Strongly Agree
Agree
Neither
Agree nor Disagree
Disagree
Strongly Disagree
Decisions are made during the meeting.
Please rate the following statements by placing a check mark in the corresponding box.
Strongly Agree
Agree
Neither
Agree nor Disagree
Disagree
Strongly Disagree
I felt that I contributed to the decision making process.
Please rate the following statements by placing a check mark in the corresponding box.
Strongly Agree
Agree
Neither
Agree nor Disagree
Disagree
Strongly Disagree
I felt that I was adequately prepared to participate in the meeting.
Please rate the following statements by placing a check mark in the corresponding box.
Strongly Agree
Agree
Neither
Agree nor Disagree
Disagree
Strongly Disagree
Facilitator(s) were well prepared to conduct the meeting.
Please rate the following statements by placing a check mark in the corresponding box.
Strongly Agree
Agree
Neither
Agree nor Disagree
Disagree
Strongly Disagree
I am satisfied with the outcomes of this meeting.
Please rate the following statements by placing a check mark in the corresponding box.
Strongly Agree
Agree
Neither
Agree nor Disagree
Disagree
Strongly Disagree
What did you like most about the meeting?
What changes can we make to improve the meeting?
Overall meeting satisfaction.
Select one.
Very Satisfied
Satisfied
Neutral
Un-Satisfied
Very Un-Satisfied
Thank you!