Feedback Form (tellers): TimeSlips/Special Tellaround

Storyteller-Facilitator

First Name

Last Name

Name of Volunteer/Scribe (if applicable)

First Name

Last Name

Type of StoryShare event:

Date of Special Tellaround/TimeSlips:

YYYY

Time of day the session took place

Delivery Method:

Host organization and contact person

Number of senior participants

First and last names of all senior participants

Names of other attendees e.g. family, organization staff, translator, etc.

What story/stories did you tell?

What was your theme and your "question of the day"?

For TimeSlips: Which picture prompt did you use? (provide brief description)

Do you have comments about the planning process including connecting with the volunteer/scribe?

Did you encounter any issues during this session?

Yes

If yes, please explain:

Do you have suggestions for other teller-facilitators about what worked for you?

Please add comments about how the session went, especially any "power of story" moments

Teller Feedback Form: TimeSlips Sessions