IWiP 3 month assessment form

First Name: *

Last Name: *

Organisation: *

Booking Number: *

Have you ever contributed to a CAF?: *

Yes

No

Have you ever been a Lead Professional?: *

Yes

No

Have you ever attended a TAC?: *

Yes

No

Do you feel your confidence has grown as a result of the training you received?: *

Rate your confidence in the following areas (5 = very confident): *

	1	2	3	4	5
Understanding the principles of integrated working
Effectively and safely sharing information
Chairing a TAC meeting
Completing a CAF
Making an assessment
Action planning with a TAC
Using MASH
Being a lead professional
Solution focussed communication

Has this training changed the way you carry out this role?: *

Have you used Part 1 (Reference book & Exercise book) since you finished?: *

Yes

No

Have you any questions you would still like answered?: *

Yes

No

If 'Yes', what are they?:

Comments (please make any other comment you feel will help improve this training):

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