Sample Evaluation Form (Page 6 of 7) in pdf

Sample Evaluation Form Page 6

SAMPLE EVAULATION FORM #3

In order to continue to improve the quality of educational programming, the Department of Psychiatry, would

appreciate you taking a few minutes of your time to complete this evaluation. Your comments and suggestion will

help us to plan future lectures to meet your educational needs.

ESSION

ITLE

ESSION

ATE

RESENTER

1. Please rate the degree to which the following objectives of this series/lecture were met

(5=Completely; 4=to a high degree; 3=moderately; 2=minimally; 1=not at all)

Upon completion of this program, I will be able to:

Conceptualize cases from the point of view of a cognitive therapist

Understand a range of techniques that could be applied in

each situation

For questions below: 5=Strongly Agree; 4=Agree; 3=Neutral; 2=Disagree; 1=Strongly Disagree

2. I acquired new skills or knowledge in relation to topic discussed 5

3. The Lecture description was accurate

4. The teaching format/length was suitable to content

5. The teaching level was appropriate to audience

6. The quality of the facilities was adequate for learning

7. Presenter for this session:

Excellent

Good

Fair

Poor

Expressed ideas clearly

Presented useful examples

Thoroughness of content

Speaking/teaching ability

Sample Evaluation Form Page 6