Sample Evaluation Form
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7SAMPLE 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
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traumatic brain injury.
2. Identify three types of other traumatic complications often found after
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traumatic brain injury.
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3. List two types of medications to be avoided after traumatic brain injury.
SPEAKERS (generally)
1. Knowledgeable in content areas
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2. Content consistent with objectives
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3. Clarified content in response to questions
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CONTENT
1. Appropriate for intended audience
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2. Consistent with stated objectives
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TEACHING METHODS
1. Visual aids, handouts, and oral presentations clarified content
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2. Teaching methods were appropriate for subject matter
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Knowledgeable in
Content consistent
Clarified content in
Content area
with objectives
response to questions
FACULTY
Dr. Smith
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1 2 3 4 5
1 2 3 4 5
COMMENTS:
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