Sample Program Evaluation Form - Free Download
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Sample Program Evaluation Form
Sample Program Evaluation Form
SAMPLE EVALUATION FORM #1
Topic Title: _________________________________________________________
Participant's Name (optional): _______________________________________
EVALUATION TOOL
We appreciate your help in evaluating this program. Please indicate your rating of the presentation in the
categories below by circling the appropriate number, using a scale of 1 (low) through 5 (high). Please fill
out both sides of this form:
OBJECTIVES
This program met the stated objectives of:
1. Identify three types of neurological complications often found after
traumatic brain injury.
2. Identify three types of other traumatic complications often found after
traumatic brain injury.
3. List two types of medications to be avoided after traumatic brain injury.
SPEAKERS (generally)
1. Knowledgeable in content areas
2. Content consistent with objectives
3. Clarified content in response to questions
CONTENT
1. Appropriate for intended audience
2. Consistent with stated objectives
TEACHING METHODS
1. Visual aids, handouts, and oral presentations clarified content
2. Teaching methods were appropriate for subject matter
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1 2 3 4 5
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1 2 3 4 5
FACULTY
Knowledgeable in
Content area
Content consistent
with objectives
Clarified content in
response to questions
Dr. Smith 1 2 3 4 5 1 2 3 4 5 1 2 3 4 5
COMMENTS:
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