Program Evaluation Form

*Required fields are bold.

*Name:
*Email:
*Program:
*Location:
*Class: Freshman
Sophomore
Junior
Senior
Graduate
*Gender: Male
Female
*Why did you attend this program? Mandatory
Interested in topic
Friend asked you to go
Other (please explain):
*How did you hear about this program? Flyer
RA
Friend/Roommate
Chronicle ad
Email
Other (please explain):
We would like your input for future programming. Please take a moment to complete this evaluation.
1. The most useful part of this program for me was...
2. The least useful part of this program for me was...
3. As a result of this program, I will now...
4. Would you recommend the program to another group? Why or why not?
5. Please evaluate the following by checking the number that best correlates with your response:

a. clarity of information:
1 2 3 4 5
completely understood   somewhat understood   not understood at all

b. comfort created for participation:
1 2 3 4 5
completely comfortable   somewhat comfortable   completely uncomfortable

c. presenter's ability to hold interest:
1 2 3 4 5
completely held interest   somewhat held interest   did not hold interest at all

d. organization of program:
1 2 3 4 5
completely organized   somewhat organized   completely disorganized
Other comments/feedback:
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