Appendix 39 FACILITATOR FEEDBACK FORM
Approved November 2009

Type of Training: __________________________ Date: ________________________

Facilitators: _____________________________________________________________

Please attach a copy of the attendance roster to this feedback report.

Please list any staff who were absent, came late or left early:
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Facilitator’s general feedback (i.e., staff engagement, issues/concerns to be addressed etc.):
_______________________________________________________________________

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Please return this report to Human Resources once complete.  Thanks for your feedback.