Check-In & Training Feedback
Recipient to Complete
Date
-
Month
-
Day
Year
Date
Training Recipient / Check-In Recipient Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Trainer or Leader Name
*
Please Select
Carol Foster and Krista Venezia
Krista Venezia
Carol Foster
Darlene Gagnon
Denis Gagnon
Outside Speaker
Please check one:
*
Veteran
Veteran Spouse
Veteran Dependent
Retired First Responder
Retired First Responder Spouse
Retired First Responder Dependent
Civilian
Organization
Which organization?
example: Mary Jane Mother or John Doe Father
Are you completing this for a Dependent?
*
Please Select
Yes
No
What is his/her name and relationship?
example: Mary Jane Mother or John Doe Father
Training / Activity (select one)
*
Carriage Program Training
Co-Ed Equine Assisted Learning Session
EAL Women's Group Session
EAL Men's Group Session
Equine Assisted Learning Team
Fix It Crew
Garden Club
Safety and/or Mental Health Safety & Training
Self-Care Saturday
Teambuilding
Volunteer Orientation
Other
Write the Title of the Training or Activity
Number of Hours of Training or Activity Time
*
What top 3 take-aways or experiences did you have from this training or activity?
*
What do we need to do to improve your experience at Henry's Home?
*
Please rate your experience or this training session. 5 Stars = Excellent
1
2
3
4
5
Submit
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