Training Needs Assessment Name* First Last Organization Phone*Email* 1. What brings you here today? What kind of training and assistance are you looking for?2. What type of platform are you looking for? For example, a one-day workshop, three-part series, ongoing training or just a one-time training.3. What technology do you have available and works best for you (i.e. zoom, webex, Teams)?4. What is the expected number of participants?5. What is your desired timeframe?6. What style workshop do you prefer (interactive, lecture, etc.)?7. How much knowledge do the participants have around this topic?8. What are the objectives you would like to achieve from this workshop?9. Have you already conducted a survey of your staff to see what topic areas are of most importance to them? If not, would you be open to doing a survey or having us do a survey?10. Would you like us to provide any self-care tools or resources as “leave-behinds” so that participants could use them in their daily lives following the training? For example, self-care tool kits containing items like mindfulness flash cards, exercises for mind, body and spirit, essential oils, etc.?11. Is there any type of follow-up services you would like us to provide? For example, a post-training survey, individual trainings with departments or one-on-one self-care support session?12. Is there anything else that would be helpful for us to know?13. We customize every training we do to meet the specific needs of our clients. As such, we approach our trainings based on a sliding fee scale depending on the scope of work involved. Is there a budget we should be respectful of?14. What type of technology/materials does your agency have and what will we need to bring on our end (laptop, portable projector, screen, converter, easel, and flipcharts etc.)? Δ