Faith Based Toolkit Review Form

Demographics (anonymous)

Tell us a little about your community

What age youth do you work with directly?*

Elementary
Middle School (grades 6-8)
High School (grades 9-12)
Young adult

Check all that apply.

Is your community familiar with Safe Harbor and the work that we do?*

Yes, we've even done volunteering with you.
Yes, we're familiar.
A few staff and leadership know of Safe Harbor.
No, my community is not familiar with Safe Harbor.

Toolkit Review - Relatability and Readability

The following questions will give us a taste for how helpful or educational our toolkit was for you and your community. Please keep in mind that any thoughts regarding direct use of the toolkit will be included in a different section!

Rank the general relatability (the material being applicable and you learned more about intimate partner violence and relationships)*

This is perfect! Can't wait to use it!
The toolkit was relatable.
I'm unsure of how to use the toolkit.
This toolkit may be useful in the future.
This doesn't relate to my community.

Rank the general readability (design, grammar, layout) of the toolkit.*

Great read - language represents my community! Layout flowed well!
Easy to read and great material for discussion.
It was good! no problems.
I only understood a few portions of the toolkit.
This was poorly designed and hard to follow.

This toolkit gave me more of a broad understanding of how IPV is present in my community.*

After reading this toolkit, I have a better understanding of the significance of primary prevention and am interested in how I can be involved in bringing primary prevention to my community.*

I feel confident implementing the toolkit and quick-talks material into my community.*

I was encouraged by the toolkit reminding me of how myself, my faith, and my faith community play a role in preventing IPV.*

I was challenged to process how myself, my faith, and my faith community can play a role in furthering/enabling IPV.*

Being an effective advocate for a survivor of IPV does not mean that you have to deny or compromise your beliefs or faith – it does mean taking a careful look at the impact of your words/support as it relates to the safety of an individual in your community.*

I feel confident that I can recognize signs of IPV in the lives of the youth that I serve.*

I think the youth I serve would engage well with the material provided in this toolkit.*

This toolkit represented the values, lifestyles, and faith of the youth that I serve in a way that was easily applicable.*

Check which quick-talks you would be interested in facilitating with the youth in your faith community:*

Select All
Jealousy
Phone Privacy and Sharing
Healthy Communication & Conflict
Respect & Self-Respect
Protection & Control
None of the above

Toolkit Review - Application and Results

This portion of the google form is designed for youth leaders or community leaders who have taken the step of implementing this toolkit into their community settings in some form. Whether you used the quick-talks, used the discussion questions provided, or used resources found on our repsc.org/faith webpage, we would love to hear your feedback.

In a few words, how do you end up using this toolkit?

What were some challenges in facilitating this material?

What recommendations do you have for modifications or changes in our toolkit?

Can you give us an example of a conversation that happened as a result of facilitating this toolkit?

I am interested in doing more of this work and would want to be kept up to date on additional resources or information.*

Yes, keep me updated!
No, this was good! I'll reach out again if needed.

Demographics (Optional)

Tell us more about you, if you'd like to identify yourself and keep in touch!

Email

What is the name of your faith community/organization?