Sample Program Evaluation Form
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1Sample Program Evaluation Form
_______________________________ Chapter of the IADD
(Program Title, Dates, Location)
Instructions:
Circle your response to evaluate this program.
1=Poor
2=Fair
3=Good
4=Excellent
Quality of program as a whole
1
2
3
4
n/a
Subject matter’s usefulness
1
2
3
4
n/a
Presenter’s knowledge/expertise on subject matter 1
2
3
4
n/a
Quality of visual aids/instructional materials
1
2
3
4
n/a
Quality of written materials
1
2
3
4
n/a
Breakout discussion usefulness
1
2
3
4
n/a
Appropriateness of program length
1
2
3
4
n/a
Appropriateness of arrangements and site
1
2
3
4
n/a
Appropriateness of room set-up
1
2
3
4
n/a
Quality of food and beverage
1
2
3
4
n/a
Quality of service
1
2
3
4
n/a
Rate your experience in the registration process
1
2
3
4
n/a
Was your registration?
In Advance
On-site
Instructions: Circle your response to evaluate this program.
1=Strongly disagree 2=Disagree
3=Agree 4=Strongly Agree
Do you feel today’s program was of value based
on your time and investment?
1
2
3
4
n/a
Why or why not? _______________________________________________________________
______________________________________________________________________________
Did this session meet your expectations?
1
2
3
4
n/a
Why or why not? _______________________________________________________________
What are your ideas for future programming? _________________________________________
______________________________________________________________________________
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