<!DOCTYPE form SYSTEM 'FormMail-2.0.dtd'>
<form name="Follow-Up Survey for Health Matters: Train-the-Trainer Workshop" >

<mail name="mail1">
  <to>bmarks1@uic.edu
  <cc>bmarks1@uic.edu
  <cc>jsisirak@uic.edu
  <cc>$email_2
<from>bmarks1@uic.edu
  <Subject>Health Matters: Train-the-Trainer Workshop Survey
  <body>

Follow-Up Survey for Health Matters: Train-the-Trainer Workshop
Date: $fm_date
Email: $email
Name: $name

	
Current job title?
$s_job_title$job_title$e_job_title

If other, what is it?
$s_two_other$two_other$e_two_other


In the past year, after the Train-the-Trainer Workshop...

2) I shared information from the training with my coworkers : $2
In general, how many coworkers received the information : $participant_number_2
How many copies of the Curriculum did you give to your coworkers : $curriculum_number_2

3) I conducted staff trainings using the materials from the training : $3
In general, how many training events did you have : $training_number_3
About how many people did you train : $trainee_number_3

4) Our agency/organization started the following activities/programs/services...
$s_wellness_committee_1$wellness_committee_1$e_wellness_committee_1
Wellness Committee # : wellness_number_1

$s_nutrition_classes_2$nutrition_classes_2$e_nutrition_classes_2
Nutrition Classes : $classes_number_2

$s_diet_counseling_3$diet_counseling_3$e_diet_counseling_3
Diet Counseling : $classes_number_3

$s_fitness_assessments_4$fitness_assessments_4$e_fitness_assessments_4
Fitness Assessments : $classes_number_4

$s_exercise_classes_5$exercise_classes_5$e_exercise_classes_5
Exercise Classes : $classes_number_5

$s_health_education_classes_6$health_education_classes_6$e_health_education_classes_6
Health Education Classes : $classes_number_2

$s_health_risk_screening_7$health_risk_screening_7$e_health_risk_screening_7
Health Risk Screening : $screening_number_7


5) Our agency/organization developed policies that address the following activities/programs/services...
$s_preparation_cafeteria_1$preparation_cafeteria_1$e_preparation_cafeteria_1
$s_food_choices_cafeteria_2$food_choices_cafeteria_2$e_food_choices_cafeteria_2
$s_food_choices_vending_3$food_choices_vending_3$e_food_choices_vending_3
$s_food_choices_meetings_4$food_choices_meetings_4$e_food_choices_meetings_4
$s_staff_physical_activity_5$staff_physical_activity_5$e_staff_physical_activity_5
$s_provide_HP_work_6$provide_HP_work_6$e_provide_HP_work_6
$s_subsidize_memberships_7$subsidize_memberships_7$e_subsidize_memberships_7
$s_job_role_8$job_role_8$e_job_role_8
$s_mission_vision_9$mission_vision_9$e_mission_vision_9

5) Based on the Train-the-Trainer Workshop, please list any other changes that you have made 
(or plan to make) in your program, agency, or clinical service... 
$changes_5


	
</body>
</mail>



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<![CDATA[
	<html><head><title>Thank You</title></head>
	<body>
	<p align = "center">
	<font face="Arial, Helvetica, sans-serif" size="3">
	<b>
		Health Matters: Train-the-Trainer Workshop<br>
		RRTCADD<br>
		The University of Illinois at Chicago's<br>
	</b>

	<p><b>Thank you for sending us your feedback regarding the health promotion train-the-trainer program.</b><br>
		If you have any additional questions or comments and you have given us your email, we will send you an answer as soon as possible.<br>
		</a>. 
	</p>
	<hr>
	</font>
	</p>
	

	<p>
		Date: $fm_date<br>
		Email Addresses: $email<br>
		Name: $name<br><br>



$s_attended_training$attended_training$e_attended_training

<br>

1) Current job title
$s_job_title$job_title$e_job_title
<br><br>

If other, what is it?
$s_two_other$two_other$e_two_other
<br><br>

In the past year, after the Train-the-Trainer Workshop...
<br><br>

2) I shared information from the training with my coworkers : $2
<br>
In general, how many coworkers received the information : $participant_number_2
<br>
How many copies of the Curriculum did you give to your coworkers : $curriculum_number_2
<br><br>

3) I conducted staff trainings using the materials from the training : $3
<br>
In general, how many training events did you have : $training_number_3
<br>
About how many people did you train : $trainee_number_3
<br><br>

4) Our agency/organization started the following activities/programs/services...<br>
$s_wellness_committee_1$wellness_committee_1$e_wellness_committee_1
<br>
Wellness Committee # : $wellness_number_1
<br>
$s_nutrition_classes_2$nutrition_classes_2$e_nutrition_classes_2
<br>
Nutrition Classes : $classes_number_2
<br>
$s_diet_counseling_3$diet_counseling_3$e_diet_counseling_3
<br>
Diet Counseling : $classes_number_3
<br>
$s_fitness_assessments_4$fitness_assessments_4$e_fitness_assessments_4
<br>
Fitness Assessments : $classes_number_4
<br>
$s_exercise_classes_5$exercise_classes_5$e_exercise_classes_5
<br>
Exercise Classes : $classes_number_5
<br>
$s_health_education_classes_6$health_education_classes_6$e_health_education_classes_6
<br>
Health Education Classes : $classes_number_6
<br>
$s_health_risk_screening_7$health_risk_screening_7$e_health_risk_screening_7
<br>
Health Risk Screening : $screening_number_7
<br><br>

5) Our agency/organization developed policies that address the following activities/programs/services...<br>
$s_preparation_cafeteria_1$preparation_cafeteria_1$e_preparation_cafeteria_1
$s_food_choices_cafeteria_2$food_choices_cafeteria_2$e_food_choices_cafeteria_2
$s_food_choices_vending_3$food_choices_vending_3$e_food_choices_vending_3
$s_food_choices_meetings_4$food_choices_meetings_4$e_food_choices_meetings_4
$s_staff_physical_activity_5$staff_physical_activity_5$e_staff_physical_activity_5
$s_provide_HP_work_6$provide_HP_work_6$e_provide_HP_work_6
$s_subsidize_memberships_7$subsidize_memberships_7$e_subsidize_memberships_7
$s_job_role_8$job_role_8$e_job_role_8
$s_mission_vision_9$mission_vision_9$e_mission_vision_9
<br><br>





6) Based on the Train-the-Trainer Workshop, please list any other changes that you have made 
(or plan to make) in your program, agency, or clinical service... <br>
$changes_5

	</p>



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	</html>

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