Appendix 10: Monitoring Tool - Constitution Workshop Evaluation Sheet SUPPORTED BY THE EUROPEAN UNION THE MINISTRY OF JUSTICE, LEGAL AND PARLIAMENTARY AFFAIRS (MoJLPA) In partnership with the Zimbabwe Catholic Bishops’ Conference (ZCBC) Constitution Workshop Evaluation Sheet Province: District: Venue: Date: Mother Language: Section 1: Participant’s Details (Tick “√” Your chosen response) 1. 2. Age Sex: Male: Female: 16 – 25 years 26 – 35 years 36 – 45 years 46 – 55 years 56 + Do you have a disability? (tick “√” your 3. Yes chosen response) 4. If “Yes” to question 3, what form of disability do you have? (tick “√” your chosen response) i. Vision Impairment ii. Deaf or hard of hearing iii. Mental Health Condition iv. Physical Disability v. Autism Spectrum Disorder vi. Intellectual Disability vii. Acquired Brain Injury viii. Memory Loss ix. Other, specify 52 No