Program Evaluation Form
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1Sponsor________________________________________________________________________
Program Title_____________________________________________________________________
BELTSS Approval Number___________________________
Date: ________________________
DIRECTIONS: Using the following scale, evaluate the workshop by circling the number that
best represents your impression
.
PROGRAM
Low
High
1.
Program Content
1
2
3
4
5
2.
Objectives were followed
1
2
3
4
5
3.
Agenda was followed
1
2
3
4
5
SPEAKERS
1.
Rate the speaker(s) presentation
A. _______________________________________________________________________
1
2
3
4
5
B. ________________________________________________________________________
1
2
3
4
5
C. _______________________________________________________________________
1
2
3
4
5
HANDOUTS
1.
The handouts provided were appropriate
1
2
3
4
5
2.
Audio-Visual equipment was used appropriately
1
2
3
4
5
MEETING ROOM
1.
Rate meeting room accommodations
1
2
3
4
5
2.
Facility/Meeting Room/Hotel was easy to locate
1
2
3
4
5
1
2
3
4
5
THE OVERALL RATING YOU WOULD GIVE THIS PROGRAM
Additional comments regarding program, content, speakers, facility, etc.:
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________
st
SPONSOR: Please return evaluation forms as soon as possible to BELTSS, 246 N. High Street, 1
Fl. Columbus,
OH 43215
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