Participant's Evaluation
Site _________________________________________
- How did you like the program (Check one answer.)
____ I liked it very much
____ I liked it
____ It was OK
____ I did not like it
- What did you think about the following?
a. Food Safety Broadcast:
____ Very useful
____ Somewhat useful
____ Not useful
b. Nutrition Broadcast:
____ Very useful
____ Somewhat useful
____ Not useful
c. Volunteer Management Broadcast:
____ Very useful
____ Somewhat useful
____ Not useful
d. Workshop Activities:
____ Very useful
____ Somewhat useful
____ Not useful
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- How will you use the program materials you received today?
____________________________________________________________________
____________________________________________________________________
- How will you use the information you received today?
____________________________________________________________________
____________________________________________________________________
- How did you find out about today's program?
____________________________________________________________________
- Did today's program meet your expectations? (Check one)
____ Absolutely yes
____ Somewhat yes
____ I had no expectations
____ Probably not
____ Definitely not
- How could today's program be improved?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
- What part of today's program did you like the most? Why?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
- What part of today's program did you like the least? Why?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
- Would you attend another program of this nature in the future?
____ Yes, similar content and format
(via satellite broadcast)
____ Yes, similar content, but different
format (not via satellite broadcast)
____ Yes, same format (via satellite
broadcast) but different content
____ No, not interested in another like
this
- What additional topics would you be interested in?
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Comments:
Optional Information:
The following information would be helpful
to us in our continuing research on adult learning. If you are uncomfortable with
giving us this information, please feel free to leave this section blank.
A. What is your gender?
___female ___ male
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B. What is your ethnic background?
___ Asian ___ American
Indian
___ Caucasian ___ African-American
___ Hispanic ___ Other
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C. In what year were you born? _____
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D. What is the highest level of education you have completed?
___ Some high school
___ High School graduate
___ Technical or 2 year college/some college
___ 4 year college graduate or beyond
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E. What is your occupation? (Please fill in,
if retired, please indicate former occupation.)
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F. What type of not-for-profit program do you work with?
___ food bank ___food pantry
___ soup kitchen ___ shelter
___ other, please specify _______________
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