EVALUATION FORM FOR SLAC

School: _______________________________________________ Date: ___________________

Title/Topic(s) of SLAC: ___________________________________________________________
Expected Number of Participants: __________ Actual Number of Participants: __________
DIRECTION: Check the box corresponding to your assessment of each aspect of the program.

Legend: 4 – EXCELLENT, 3 – SATISFACTORY, 2 – FAIR, 1 - POOR 4 3 2 1

1. CONDUCT OF THE SESSION/S

COMMENT(S):

SUGGESTION(S):

2. FACILITATOR(S)
COMMENT(S):

SUGGESTION(S):

3. OBJECTIVES – CLEARNESS AND ATTAINMENT

(4-Strongly Agree, 3-Agree, 2-Disagree, 1-Strongly Disagree)

3.1 OBJECTIVES WERE CLEARLY EXPLAINED

3.2 OBJECTIVES WERE ATTAINED

COMMENT(S):

SUGGESTION(S):

4. VENUE AND FACILITIES

COMMENT(S):

SUGGESTION(S):
 5. FOOD
COMMENT(S):

SUGGESTION(S):

6. DELIVERY OF SUPPORT MATERIALS

COMMENT(S):

SUGGESTION(S):

7. PROGRAM MANAGEMENT TEAM

COMMENT(S):

SUGGESTION(S):

8. OVERALL RATING FOR THE SLAC

OTHER COMMENT(S):

SIGNIFICANT LEARNINGS: (Please enumerate.)

WHAT FURTHER LEARNINGS WOULD YOU LIKE TO HAVE? (Please enumerate.)

WHAT DO YOU INTEND TO DO WITH YOUR NEW LEARNINGS?

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NAME AND SIGNATURE OF PARTICIPANT