Sample Activity Evaluation printable pdf download

Sample Activity Evaluation

Sample Activity Evaluation_Live

<Date>

Please respond to the following statements using the following scale:

1= Strongly Disagree

2= Disagree

3=Neutral

4= Agree

5= Strongly Agree

Std. 11

Items

The activity met my educational needs.

Achievement of stated learning objectives:

1. List out objective

2. List out objective

3. List out objective

4. List out objective

The speaker was organized in his/her presentation.

The speaker was effective in his/her presentation.

The educational materials were useful.

E./F.

The active learning strategies (questions, cases,

discussion) were appropriate and effective.

The program was presented in a fair and unbiased

manner.

If not, please describe______________________

Additional comments:

This template is provided by ACPE as sample questions for the required items of this Standard. The questions

may need modification and should be altered as necessary to meet the specific needs of each provider.

Released_March 2009

Sample Activity Evaluation