MINISTRY OF HEALTH – UGANDA

TOTOBSERVATIONREPORT

Date:____/____/______Course Name:______

(Day/Mon/Year)

Supervisee Name:______Number of Sessions Observed: ______

Training Venue:______District:______

Organized By:______Funded By:______

Rating Scale:3=Excellent2=Good1=Developing0=Poor

Serial
No. / Question / Sessions / Comments
1______/ 2______/ 3______
1 / How well did the trainer prepare for the session ahead of time? / 3 2 1 0 / 3 2 1 0 / 3 2 1 0
2 / How well did the trainer introduce the session? / 3 2 1 0 / 3 2 1 0 / 3 2 1 0
3 / How well did the trainer conduct practical exercises or group activities? / 3 2 1 0 / 3 2 1 0 / 3 2 1 0
4 / How well did the trainer conduct games? / 3 2 1 0 / 3 2 1 0 / 3 2 1 0
5 / How well did the trainer conduct interactive activities? / 3 2 1 0 / 3 2 1 0 / 3 2 1 0
6 / How well did the trainer provide smooth transitions? / 3 2 1 0 / 3 2 1 0 / 3 2 1 0
7 / How well was feedback received from the participants? / 3 2 1 0 / 3 2 1 0 / 3 2 1 0
8 / How well did the trainer close the session emphasizing key points? / 3 2 1 0 / 3 2 1 0 / 3 2 1 0
9 / How well were the objectives of the session met? / 3 2 1 0 / 3 2 1 0 / 3 2 1 0
10 / Summation of the ratings / Overall, add all individual ratings per session out of 81:______
11 / In your opinion, how would you rate the overall effectiveness of this trainer? / 66 – 81=Can train independently
54–65=Can train with support
27–53=Can train after mentorship
0 –26=Cannot train
12 / Please describe your meeting with this trainer and the key issues discussed.
13 / Any additional comments:

______

Name of Supervisor/ObserverSignatureDate