Form 1 Post Test

SOAR to Health and Wellness Pilot Training POST-TEST Evaluation Form

Please indicate whether you believe each of the following statements is TRUE or FALSE by placing an X in the corresponding column. If you are unsure place and X in the “I do not know” column. Your responses and comments are extremely valuable to assist us in evaluating this training and planning how to better train healthcare providers to respond to the needs of victims of human trafficking.

		True	False	I Do Not Know
1.	Human trafficking involves the use of force, fraud, or coercion to exploit a person over the age of 18 for commercial sex or forced labor.
2.	A 16-year old child induced into commercial sex by an adult is a victim of human trafficking.
3.	The U.S. is one of the top receiving countries of foreign nationals who are victims of trafficking.
4.	A U.S. citizen can be a victim of human trafficking.
5.	Poverty, young age, and a history of abuse and neglect are three of the factors that increase vulnerability to human trafficking.

Please indicate your agreement with the following items on a scale from “Completely Disagree” to “Completely Disagree”. Place an X in the column that corresponds to your response.

		Completely Disagree	Somewhat Disagree	Neither Agree nor Disagree	Somewhat Agree	Completely Agree
1.	Healthcare providers should play an important role in strengthening and enhancing human trafficking prevention and intervention efforts.
2.	All persons in commercial sex are willing participants.
3.	Health providers have to act immediately to assist the victim if they suspect human trafficking.
4.	I am confident that I can identify victims of human trafficking.
5.	Isolating the patient from the accompanying person may be an appropriate tactic in identifying potential victims of human trafficking.
6.	It is helpful to ask questions about mobility, contact with family or friends, or location of their identification documents if I suspect human trafficking.
7.	Victims of human trafficking will immediately self-identify and ask for help or assistance.
8.	I know of at least two resources to access if I suspect that my patient is a victim of human trafficking.
9.	I am able to respond to potential victims of human trafficking in trauma informed ways.
10.	My institution has a protocol to refer victims of human trafficking for additional services.

The next questions are about the logistics of today’s training. Please indicate your agreement with each statement on a scale from “Completely Disagree” (1) to “Completely Disagree” (5). Place an X in the column that corresponds to your response.

	Completely Disagree	Somewhat Disagree	Neither Agree nor Disagree	Somewhat Agree	Completely Agree
The training covered quality information.
Online registration was easy.
The training had a good mix of learning opportunities (e.g., practice and theory).
The training met its stated objectives.
The training met MY objectives.
The training handouts were useful.
	Completely Disagree	Somewhat Disagree	Neither Agree nor Disagree	Somewhat Agree	Completely Agree
The length of the training was just right.
The training is relevant to my professional practice.
I would recommend this training to other colleagues.
I plan to change my practice behaviors because of this training.
Presenters were engaging and well prepared.

Finally, please answer the following questions:

1. How would you rate your awareness of Human Trafficking now?

____ Completely Uninformed ___Somewhat Informed ____ Well Informed ____Completely Informed

2. Based on today’s training, how many potential victims of human trafficking do you think you would have identified in the past three months?

_____________________________________________

3. Name two things you plan to do differently in your practice as a result of having participated in this training.

1. ________________________________________________________

2. ________________________________________________________

If there is anything else you wish to share about your experience with this training, please do so below.

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Thank you for your time!