Participant Satisfaction Questionnaire Template Page 3

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1
PARTICIPANT SATISFACTION QUESTIONNAIRE
Facilitator(s) Name(s): _________________________________________________________
Date:
_____ / _____ / _____
Location: _________________________
Please take a moment to rate how effective we were in presenting information to you. Check
the box the best represents your response to the question.
Strongly
Strongly
The facilitator(s)…
Disagree
Agree
Disagree
Agree
1. Demonstrated expertise in the subject matter.
2. Clearly answered any questions I had.
3. Used clear, simple language that I could
understand.
4. Were comfortable talking about sensitive topics.
5. Gave all group members a chance to contribute
and ask questions.
6. Listened carefully to what everybody said.
7. Used appropriate teaching strategies.
8. Created a comfortable learning environment.
9. Were nonjudgmental.
10. Were friendly.
11. Were enthusiastic.
12. Were respectful.
Strongly
Strongly
As a participant, I found …
Disagree
Agree
Disagree
Agree
1. The group discussions interesting and
informative.
2. The activities and exercises enhanced my ability
to learn the subject matter.
3. The handouts were helpful.
3MV
P
S
Q
D
2010
ARTICIPANT
ATISFACTION
UESTIONNAIRE
ECEMBER

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