NAME:
PROGRAM TITLE:
PROGRAM DATE :
SPEAKER:
PLEASE CHECK THE APPROPRIATE BOX
1. OVERALL VALUE OF THE PROGRAM (1 = POOR, 10 = OUTSTANDING):
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3
4
5
6
7
8
9
10
COMMENTS:
2. TEACHING SKILLS OF THE SPEAKER (1 = POOR, 10 = OUTSTANDING):
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2
3
4
5
6
7
8
9
10
COMMENTS:
3. LIKELIHOOD OF IMPLEMENTING WHAT YOU LEARNED (1 =NOT AT ALL LIKELY, 10 = VERY LIKELY):
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5
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9
10
COMMENTS:
4. WHAT DID YOU FIND MOST VALUABLE?
5. WHAT WOULD YOU HAVE EXCLUDED?
6. WHAT ELSE WOULD YOU LIKE US TO INCLUDE?
7. QUESTIONS OR ADDITIONAL COMMENTS:
