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Table of Contents
Workshop Evaluation
Step
1
of
3
33%
This evaluation will take about 3 minutes to complete. Please confirm the following details.
Participant Name
Please confirm spelling of your name for your certificate.
Workshop
ASIST
ASIST Tune Up
Safe Talk
Looking Forward
Small Talk
Little Cub
Walk With Me
Suicide To Hope
Looking Forward (formerly Straight Talk)
Small Talk (Formerly Tattered Teddies)
How to talk about suicide: A conversation guide
You cannot edit this field. If the information is incorrect, please contact CSP prior to completing your evaluation.
Trainer(s)
*
You cannot edit this field. If the information is incorrect, please contact CSP prior to completing your evaluation.
Internal Use Only:
First evaluation
Second evaluation
Third evaluation
Fourth evaluation
I can confidently identify someone at risk of suicide.
*
1 Not confident
2
3
4
5
6
7
8
9
10 Confident
Before the Workshop
After the Workshop
I am ready (prepared) to intervene with someone at risk of suicide.
*
1 Not prepared
2
3
4
5
6
7
8
9
10 Prepared
Before the Workshop
After the Workshop
I am ready (prepared) to start a conversation about suicide if I'm concerned about someone.
*
1 Not prepared
2
3
4
5
6
7
8
9
10 Prepared
Before the Webinar
After the Webinar
I am willing (confident) to intervene with someone at risk of suicide.
*
1 Not confident
2
3
4
5
6
7
8
9
10 Confident
Before the Workshop
After the Workshop
I am willing (confident) to start a conversation about suicide if I’m concerned about someone.
*
1 Not confident
2
3
4
5
6
7
8
9
10 Confident
Before the Webinar
After the Webinar
I am able (skilled) to intervene with someone at risk of suicide.
*
1 Not skilled
2
3
4
5
6
7
8
9
10 Skilled
Before the Workshop
After the Workshop
I am able (skilled) to start a conversation about suicide if I’m concerned about someone.
*
1 Not skilled
2
3
4
5
6
7
8
9
10 Skilled
Before the Webinar
After the Webinar
I can confidently identify someone at risk of suicide.
*
1 Not confident
2
3
4
5
6
7
8
9
10 Confident
I am ready (prepared) to intervene with someone at risk of suicide.
*
1 Not prepared
2
3
4
5
6
7
8
9
10 Prepared
I am willing (confident) to intervene with someone at risk of suicide.
*
1 Not confident
2
3
4
5
6
7
8
9
10 Confident
I am able (skilled) to intervene with someone at risk of suicide.
*
1 Not skilled
2
3
4
5
6
7
8
9
10 Skilled
I am willing to help someone at risk of suicide.
*
1 Unwilling
2
3
4
5
6
7
8
9
10 Willing
I am willing to help someone at risk of suicide.
*
1 Unwilling
2
3
4
5
6
7
8
9
10 Willing
Before the Workshop
After the Workshop
I know how to connect someone to mental health resources in my community.
*
1 Not confident
2
3
4
5
6
7
8
9
10 Confident
Before the Workshop
After the Workshop
I know how to connect someone to mental health resources in my community.
*
1 Not confident
2
3
4
5
6
7
8
9
10 Confident
The Trainer(s) created an environment where I was able to take risks and feel safe.
*
Yes
No
The Trainer(s) encouraged me to ask questions and share my opinion.
*
Yes
No
The Trainers worked well as a team.
*
Yes
No
Since taking the ASIST workshop I have done a suicide intervention.
*
Yes
No
Since taking the ASIST workshop I have done a suicide intervention.
*
Yes
No
Please share your intervention story with us.
*
My biggest takeaway from the webinar is:
*
What else would you like to tell us?
What else would you like to tell us?
What else can you tell us?
What else can you tell us?
What more would you like to know?
Please explain.
*
My comments may be published anonymously.
Want to touch base with someone at Centre for Suicide Prevention?
Email us!
If you’re in crisis, contact
1-833-456-4566.