Republic of the Philippines

Department of Health
TREATMENT AND REHABILITATION CENTER
Brgy. Anomar, Surigao City
Evaluation Tool

Title of the Activity: Training on Community-Based Treatment and Care Services SPEAKER: 1. Paaulito C. 2. Dianne 3. Hope 4. Ruth
for People Affected with Drug Use and Dependence Ofiasa Congreso Pableo Cuizon
Date: October 2-4, 2018 Venue:, Kasili Resort, Mainit 1. The facilitator displayed
a thorough knowledge of
the topic.
2. The facilitator was able
to build rapport with the
participants.
3. The facilitator clearly
articulated the concepts in
the program.
4. The facilitator was able
to facilitate the sessions
effectively.
5. The facilitator was able
to manage time properly.
 Other comments/suggestions about Other comments or suggestions about
Instructions: Please encircle the the food: the venue:
number that represents the degree to ______________________________ ______________________________
which you agree to the following ______________________________ ______________________________
statements: (1 = Strongly Disagree, 2 = _______ ______________________________
Disagree, ______________________________
,3 = Neither Agree nor Disagree, 4 = Age : _______________________ ______________________________
Agree, 5 = Strongly Agree) ______________________________
CONTENT AND METHODOLOGY SD D N A SA _____________________
1. The way the concepts were communicated
1 2 3 4 5
has helped me to understand the content.
2. The methodologies used in the program were
1 2 3 4 5
appropriate and effective in facilitating learning.
3. At this point, I have an idea on how I can apply
the lessons I learned to my work and 1 2 3 4 5
organization.
4. The program’s duration was just right. 1 2 3 4 5
5. The visual aids/medium of representation used
in this program helped me learn the subject 1 2 3 4 5
matter more thoroughly.
Designation:
What part of the course do you think _________________________
was most helpful? Why? Sex: _______________________
______________________________ Station :
______________________________ ____________________________
_______ Please rate by writing the number: 1 =
Strongly Disagree, 2 = Disagree,
What part of the course do you think 3 = Neither Agree nor Disagree, 4 =
was least helpful? Why? Agree, or 5 = Strongly Agree
______________________________ Other comments or suggestions
______________________________ about the facilitators:
______ NAME

Other comments/suggestions about

the Program Content and
Methodology:
______________________________
______________________________ Please encircle the number that
______ represents your answer
Please indicate the reason for your SD D
suggestions. 1. The training room is conducive to learning. 1 2
2. The accommodation is comfortable. 1 2
FOOD: 3. The hotel/venue staff are friendly and
1. There is acceptable variety in the food served 1 2
during the program. 4. The comfort rooms are always clean and smell
2. The servings provided were sufficient for all 1 2
the participants.