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Facilitator's Evaluation of the Pope Pius XII Program

This form was developed by the National Catholic Committee on Scouting to provide consistant monitoring of the effectiveness and viability of the Pope Pius XII program. The information you provide will be of great help in acheiving this purpose. General Information
1.	Number of participants starting the program:
	# Male
	#Female
2.	Number of participants completing the program:
	# Male
	#Female
3.	How many of those completing the program were in each grade listed?
	9th grade
	10th grade
	11th grade
	12th grade
	College
	Other
4.	How many total weeks did your group take to complete the program?
5.	How many meetings were involved?
6.	In hours, how long were the average meetings?
7.	How many times have you previously conducted this program?
8.	Did you receive any Pope Pius XII facilitator training? If yes, please describe the training: Yes No Describe training:
Participant Information
9.	What is the religious educational background of the participants completing the program? Please give number of participants fitting each category.
	No formal religious education
	Catholic grade school
	Catholic high school
	Grade school CCD or Parish School of Religion
	High school CCD or Parish School of Religion
	Eucharist and first Reconciliation preparation only
	Confirmation preparation
Facilitator Information
10.	What is your religious edicational background? Indicate those that are applicable for you.
	No formal religious education
	Catholic grade school
	Catholic high school
	Catholic College
	Grade school CCD or Parish School of Religion
	High school CCD or Parish School of Religion
	Eucharist and first Reconciliation preparation only
	Catholic youth ministry workshops
	Other:
Program Rating: Please answer all questions using the numbers in the following scale. 5 – Excellent 4 – Very Good 3 – Good 2 – Fair 1 – Poor 0 – Very Poor
11.	Please rate the overall content of the Pope Pius XII Program from your perspective.
12.	How do you think the candidates would rate it?
13.	How well did each chapter help achieve the goal stated in the Manuals? (Please rate each chapter below and put an overall rating here:
	Chapter 1 - In the Beginning
	Chapter 2 - God and You
	Chapter 3 - Life Choices
	Chapter 4 - 9 to 5
	Chapter 5 - Here I Am
	Chapter 6 - A Melting Pot
	Chapter 7 - Putting It All Together
14.	How well did the requirements for the present committment and future involvement enhance the program? Please expalin any specific difficulties:
15.	How useful did you find the introduction in the Facilitator Manual; specifically the requirements, procedures and purpose of the program?
16.	How well did the program give you an oppertunity to be a witness of your faith to the group?
17.	How well does this program address the needs of the 16-18 year olds?
18.	Please evaluate the concept of the interviews in the program.
Please answer the following questions with as much information as possible.
19.	Which chapter, section or requirement did the participants have difficulty completing? Why?
20.	Which chapter, section, or requirement did the participants enjoy the most? Why?
21.	Hopefully, both you and the participants had a faith growth experience doing the Pope Pius XII program. Please share your thoughts on how this program helped in your own personal faith growth.
22.	From your experience, what specific chages would improve the program? Why?

Diocese:
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