Sample Evaluation Form Page 2
ADVERTISEMENT
1
2
3
4
5
6
7RELEVANCY
1 2 3 4 5
1. Information could be applied to practice
1 2 3 4 5
2. Information could contribute to achieving
personal, professional goals
FACILITY
1 2 3 4 5
1. Was adequate and appropriate for session
1 2 3 4 5
2. Was comfortable and provided adequate
space
This program enhanced my
____ Substantially
____ Somewhat
____ Not at all
professional expertise.
I would recommend this
____ Yes
____ No
____ Not sure
program to others.
COMMENTS/PROGRAM IMPROVEMENTS:
I would like (name of APA-approved sponsor) to provide seminars or workshops on the following topics:
IN GENERAL
Do you prefer:
____half-day seminars
____full-day seminars
___multi-day seminars
Do you prefer seminars in:
____hotels
____hospital
____no preference
How much time do you need to respond to a program announcement?
____less than 1 month
____4 to 6 weeks
____more than 6 weeks
How did you learn about this program?
____brochure
____supervisor
____colleague
____other
How far did you travel to attend this program?
____0-25 miles
____25-50 miles
____50-100 miles
____over 100 miles
If you would like to comment in person, please feel free to call the Office of Education at [phone number].
THANK YOU
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Business