Evaluation for presentations using the Reality Works model baby that I use for demonstrations at high schools, Head Start and community presentations.

1. Purple Crying/Shaken Baby Syndrome
NDSU Extension Service, Grand Forks County
Parent Information Center, Grand Forks Public Schools
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1. Overall, how much did you learn from thisprogram?
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Please rate your level of knowledge on each of the
following:
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Medium
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High
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2. My understanding of the Period of Purple Crying
Before Participation
Now, After Participation
3. My knowledge of the person most likely to shake a baby
Before Participation
Now, After Participation
4. My understanding of the damage that can happen when you shake a baby
Before Participation
Now, After Participation
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5. My understanding of the normal behaviors of infants and the number of hours they can cry and still be
considered “normal”
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Before Participation
Now, After Participation
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6. My knowledge of how to calm a crying infant
Before Participation
Now, After Participation
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7. My understanding of steps to take to calm myself when a child is crying
Before Participation
Now, After Participation
8. List one action you intend to take as a result of this session:
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9. The most important information I learned in this session was:
We would like to follow up with you regarding what you learned today with a phone call or a text in a month.
If you would like a phone call or a text please list your number here.
Call or Text? (circle
one)