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Instructional Design and Materials

Evaluation Form
Note: This form is to be used together with “Instructional Design and Evaluation Guidelines.”

Country

Organization
Date

Reviewer

Title

Intended
audience

Summary
description
I. INSTRUCTIONAL DESIGN ELEMENTS

Elements Value Score Note


A. Trainer or facilitator manual with: 1
1. Planning forms and checklists 1
2. Needs assessment materials 1
3. Guidance on teaching approaches and 1
learning principles
4. Summary of key messages/learning 1
B. Structured curriculum/manual with: 1
1. Agenda 1
2. Measurable objectives 1
3. Combination of affective, didactic, and 1
psychomotor domain objectives
4. Teaching methods appropriate to stated 1
objectives
5. Teaching notes 1
6. Teaching aids and handouts 1
7. Active learning exercises 1
8. Directions, including timeframe for facilitating 1
active learning
9. Additional resource and reference materials 1
Subtotal 17

II. CONTENT

Element Value Score Note


A. Accuracy 4
B. Timeliness or relationship to current guidelines 4
C. Referenced/evidence based 4
D. Locally appropriate, adapted to local context 4
E. Information sequenced from basic to specialized, 4
simple to complex
Subtotal 20

III. EVALUATION METHODOLOGY

Elements Value Score Note


A. Evaluation guidelines for assessing participant:
1. Reaction 1
2. Learning 2
3. Behavior or outcome 2
4. Results or impact
B. Evaluation instrument including:
1. Participant reaction 1
2. Participant learning 2
3. Participant behavior 2
C. If applicable, marking criteria for grading or scoring 2
assignments
Subtotal 12

Total Score

IV. SUMMARY RECOMMENDATIONS

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