SOTM, Inc. Program Evaluation

The purpose of this form is to evaluate what you thought of the program you attended, and to implement ways of improving the program as needed. Thank you for taking the time and effort in filling this out. Your help is crucial to our overall development and we look forward to all you have to share with us.

MENTOR COUNSELING LIFE SKILLS VOLUNTEER

Please identify and describe yourself:

   

Sex

Male Female

Name

Home Phone

E-mail

Date attended

-- mm/dd/yy           ***Name of Program Attended

Please rate the following areas:

PROGRAM

Overall rating of program

bad poor average good excellent

Organization of program  (1low 5 high)

1 2 3 4 5

Cost reasonable

disagree strongly disagree neutral agree agree strongly

Communication with participants

1 2 3 4 5

Punctuality (started and ended on time)

1 2 3 4 5

Staff genuinely seem to care

disagree strongly disagree neutral agree agree strongly

Comments on first impression:


The topic was relevant to my interests

1 2 3 4 5

The session improved my understanding of the topic

disagree strongly disagree neutral agree agree strongly

The information I learned will be useful in my life

disagree strongly disagree neutral agree agree strongly

I would recommend this program to a friend

disagree strongly disagree neutral agree agree strongly

Comments on Program :


COACH/PRESENTER/COUNSELOR

Knowledge of material

1 2 3 4 5

Knowledge of proper coaching/teaching/training techniques

bad poor average fair good

Attentive and supportive

1 2 3 4 5

Provision of positive feedback

1 2 3 4 5

Shows Enthusiasm

disagree strongly disagree neutral agree agree strongly

Developed good rapport with participant

disagree strongly disagree neutral agree agree strongly

Communication with participant

1 2 3 4 5

Overall performance

1 2 3 4 5

Comments on Coach/Presenter/Counselor:


FACILITY

Room size was adequate

disagree strongly disagree neutral agree agree strongly

Overall facility condition

bad poor average fair good

Comments on Facilities:


Your help is crucial to our overall development and we look forward to all you have to share with us.

What did you like best about the program?


What did you like least about the program?


What were your initial expectations and did you feel that those expectations were met?


What would you improve?


Suggestions for improvement:


I would attend another SOTM event (1-low 5-high)

1 2 3 4 5

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Revised: 07/06/11