E-FORM3 C-SL: Evaluation Guide for Clients

(Please put a cross-mark): [ ] Outreach [ ] Service Learning [ ] Extension Program

Title of activity: Service Learning Project

Date conducted: December 13, 2020
Place: Jodessah’s Eatery Pengue Ruyu (Infront of Victory Bus Liner), Tuguegarao City 2500

Directions: Please rate the different areas of the extension or Service Learning activity conducted using the following scale.
5 - Absolutely 4 - Very Good 3 - Good 2 - Could Improve 1 - Needs Inprovement

AREA
1. Did the student present a positive image while at your community?
2. Was the student on time for all pre-arranged visits?
3. Did the student demonstrate resourcefulness and take initiative at your community?
4. Was the student careful when working with varied populations?
5. Did the student understand your condition?
6. Was your community benefited by the work done by the student?
7. Was the student’s presence a positive force in your community?
8. Did the student maintain an open dialogue with the community leader throughout the course of the experience?
9. Was the student clear about her or his expectations of the experience?
10. Were objectives of the program achieved?

H. IMPRESSIONS: How would you rate the activity?

00

g scale.

5 4 3 2 1
5
5
5
5
5
5
5
5
5
5

5 4 3 2 1