Facilitator’s Evaluation
nSHAPE Session Evaluation “Lessons Learned”
nToday’s Date ___ ___ / ___ ___ / ___ ___ Session #: 1   2   3   4   5
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nWe understand that some group sessions will run smooth and conform to the intervention manual, while other sessions (for whatever reason) will not.  We also understand that the intervention may need to be changed to reflect exercises or materials that might work better.  As the facilitator of the sessions you will have firsthand experience that is very valuable to document the fidelity of the intervention. 
nPlease use this form to document your thoughts and ideas about the SHAPE intervention, the intervention manual and the way in which you facilitate the group sessions.  Sharing your insights and techniques about what worked and what did not work during the session is very important.  By sharing your ideas with other program staff the SHAPE intervention, manual and the facilitation skills of the 3C staff will become better and more standardized.  Please document anything you would like to share to better the program.
n
n1a) How well did this session conform to the manual?
n Completely Mostly Somewhat A little Not at all
n 5 4 3 2 1
n1b) If this session did not completely conform to the manual, what changes were made, and why?
n2) Did you have technical difficulties during this session (video, temperature, food, lights, etc)?
n3) Should this session be changed?  Why? How?
n4) Should the manual be changed?  Why? How?
n5) What did you learn about facilitating this session that you would like other 3Cs to know? 
n6) Do you have any ideas that might be helpful for the other interventions (MSM, Heterosexual Men, Women)?