EVALUATION FORM EVALUATION FORM

Activity: UPH Blood Letting Activity: UPH Blood Letting

Date: September 28, 2018 / 8:00 AM – 5:00 PM Date: September 28, 2018
Venue: New Gymnasium Venue: New Gymnasium

Directions: Please rate the following items by encircling the appropriate selection Directions: Please rate the following items by encircling the appropriate
using the scale provided. Your feedback will help make future activities better. selection using the scale provided. Your feedback will help make future
activities better.
5 Strongly Agree
4 Agree 5 Strongly Agree
3 Undecided 4 Agree
2 Disagree 3 Undecided
1 Strongly Disagree 2 Disagree
1 Strongly Disagree
Items Rating
1. The blood donation procedures were easy to follow Items Rating
5 4 3 2 1
and very systematic. 1. The blood donation procedures were easy to follow
5 4 3 2 1
2. The personnel were accommodating and helpful. 5 4 3 2 1 and very systematic.
3. The activity helped raised my sense of 2. The personnel were accommodating and helpful. 5 4 3 2 1
5 4 3 2 1
volunteerism. 3. The activity helped raised my sense of
5 4 3 2 1
4. I will donate blood again if and when given the volunteerism.
5 4 3 2 1
opportunity. 4. I will donate blood again if and when given the
5 4 3 2 1
5. The venue was spacious, comfortable and tidy. 5 4 3 2 1 opportunity.
6. The activity in general was implemented effectively. 5 4 3 2 1 5. The venue was spacious, comfortable and tidy. 5 4 3 2 1
6. The activity in general was implemented effectively. 5 4 3 2 1
Comments/Suggestions:
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Accomplished by: (Please check) Accomplished by: (Please check)
Faculty Staff Student Parent Faculty Staff Student Parent

Others, please Others, please

specify
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Maraming Salamat po!
 Maraming
Salamat po!