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Module 3a

Session Evaluation Form

DIRECTIONS: Please take a moment to provide feedback on the training that you received. Check the box that corresponds to your opinion for each statement or check N/ A if not applicable. Please add any additional comments that you may have at the bottom of the page. When the survey is completed, leave it with your trainer.

Location:                                                            Date:                                                          

Program Affiliation (check one):
     Head Start        Early Head Start        Child Care       Other (please list)

Position (check one):
     Administrator       Education Coordinator       Disability Coordinator       Mental Health Consultant
     Teacher        Teacher Assistant       Other (please list)                                            

Please put an "X" in the box that best describes your opinion as a result of attending this training...

Strongly Agree

Somewhat Agree

Somewhat Disagree

Strongly Disagree


(1) I have increased my knowledge about children's social and emotional development.


(2) I have increased my comfort and confidence in working with children with challenging behaviors.


(3) I have increased my understanding about the forms and function of communication.


(4) I can identify the behavioral mechanisms that contribute to viewing challenging behavior as a form of communication.


(5) I learned new methods that may be used to determine the function of challenging behavior.


(6) I increased my skills in using interview and observation data to determine the communicative function of challenging behavior.


(7) I am able to develop a behavior hypothesis from functional assessment information.


Please respond to the following questions regarding this training:

(8) The best features of this training session were...

(9) Suggestions for improvement...

(10) Other comments and reactions I wish to offer


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This material was developed by the Center on the Social and Emotional Foundations for Early Learning with federal funds from the U.S. Department of Health and Human Services, Administration for Children and Families (Cooperative Agreement N. PHS 90YD0119). The contents of this publication do not necessarily reflect the views or policies of the U.S. Department of Health and Human Services, nor does mention of trade names, commercial projects, or organizations imply endorsement by the U.S. Government. You may reproduce this material for training and information purposes.

We welcome your feedback on this Training Module. Please go to the CSEFEL Web site ( or call us at (217) 333-4123 to offer suggestions.

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