Tamaa School Training Evaluation Form

Topic: / Date:

Ratings

/ (5 = STRONGLY AGREE)
For each of the following statements, please indicate your opinion by circling one of the five rating numbers:

Statement

/ Strongly Disagree / Somewhat Disagree / No Opinion / Somewhat Agree / Strongly Agree
1.  My expectations for this workshop were met. / 1 / 2 / 3 / 4 / 5
2.  This information is important for educators to know. / 1 / 2 / 3 / 4 / 5
3.  This workshop addressed a need in our schools. / 1 / 2 / 3 / 4 / 5
4.  Implementation of workshop content will be beneficial to me professionally. / 1 / 2 / 3 / 4 / 5
5.  The content of the workshop was appropriate for the time allowed. / 1 / 2 / 3 / 4 / 5
6.  The presenter was knowledgeable about the topic. / 1 / 2 / 3 / 4 / 5
7.  The presenter was easy to understand. / 1 / 2 / 3 / 4 / 5
8.  The presenter was engaging. / 1 / 2 / 3 / 4 / 5
Feedback
1. What strategies/techniques presented at this workshop did you find to be the most useful?

2. Do you have any suggestions and/or ideas that will assist us in future workshops on this topic?

3. What other training topics would you suggest as follow-up to this workshop?

Degree of Change

For each of the following four types of change, please indicate the degree of change you have experienced as a result of this workshop by circling one of the four rating numbers:
Type of Change / None / Slight / Moderate / Much
1. Informational Change: an increase in your awareness and understanding of the subject matter of the training program. / 1 / 2 / 3 / 4
2. Behavioral Change: an increase in your ability to apply the subject matter of the training program. / 1 / 2 / 3 / 4
3. Attitudinal Change: a modification of your beliefs and perceptions related to the subject matter of the training. / 1 / 2 / 3 / 4
4. Motivational Change: an increase in your desire to be involved with activities related to the subject matter of the training program. / 1 / 2 / 3 / 4
Demographics

Please complete the following four items by marking the appropriate box or writing on the provided line:

1. Gender: / c Male / c Female
2. Education: / c Less than a High School Diploma
c High School Diploma or equivalent
c Bachelor Degree / c Master Degree
c Specialist Degree
c Doctorate Degree
3.  School:
(Please write in what school you work at or your child attends) / ______
School
4.  Role: / c Special education teacher
c General education teacher
c Paraeducator
c School counselor
c Administrator / c Parent
c Nurse or Health Professional
c Other

Optional

May we contact you for additional information about this workshop, if needed?

Name: ______Day telephone: (______)______-______

E-mail address: ______

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