Program Evaluation


NAME:	PROGRAM TITLE:

PROGRAM DATE :	SPEAKER:


PLEASE CHECK THE APPROPRIATE BOX 1. OVERALL VALUE OF THE PROGRAM (1 = POOR, 10 = OUTSTANDING):

1 2 3 4 5 6 7 8 9 10

COMMENTS:


2. TEACHING SKILLS OF THE SPEAKER (1 = POOR, 10 = OUTSTANDING):

1 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):

1 2 3 4 5 6 7 8 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: