Sample Evaluation Form Page 4

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6.
Knowledgeable of responsibilities of and
1
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3
4
5
Area and District Managers
7.
Knowledge of credentialing and
1
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3
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5
and scoring
8.
Increases knowledge of policy issues and
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3
4
5
C. Evaluation of each faculty member in stated area:
Strongly agree
Strongly disagree
1.
Content was presented in an organized
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2
3
4
5
2.
Content was presented clearly
1
2
3
4
5
and effectively
3.
Was responsive to questions/comments
1
2
3
4
5
4.
Teaching aids/audiovisuals were used effectively
1
2
3
4
5
5.
Teaching style was effective
1
2
3
4
5
6.
Content met stated objectives
1
2
3
4
5
7.
Content presented was applicable to my practice
1
2
3
4
5
D. As a result of attending this course, I see the value to me in the following ways (check all that
apply):
___I gained one or more specific ideas that I can implement in my area of practice.
___I learned a new approach to my practice.
___It may help me do a better job.
___I do not see the impact of this course on my job.
___Other
E. By attending this course, I believe (check all that apply):
___I was able to update my skills.
___I acquired new and/or advanced skills.
___I have better knowledge upon which to base my decisions/actions in the practice setting.
___I am reconsidering my views toward the topic(s) presented.
___The topic presented was appropriate, but I am undecided as to my own views.
___Other

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