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Post Program Feedback Form Template
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*
1.
Your Name
*
2.
Email Address
3.
Program Title
4.
Program Date
*
5.
Facilitator/Instructor
6.
How relevant was the program content?
Poor
Excellent
1
2
3
4
5
7.
How clear was the presentation?
Poor
Excellent
1
2
3
4
5
8.
How engaging was the facilitator/instructor?
Poor
Excellent
1
2
3
4
5
9.
How would you rate interaction and opportunities to participate?
Poor
Excellent
1
2
3
4
5
10.
Usefulness of materials and resources provided
Poor
Excellent
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2
3
4
5
11.
Which parts of the program did you find most beneficial?
12.
Which parts of the program could be improved?
13.
Do you have any other comments or suggestions for future programs?
14.
Would you recommend this program to others?
Yes
No
15.
Overall, how satisfied are you with the program?
Very Dissatisfied
Very Satisfied
1
2
3
4
5
16.
Would you like to be contacted for follow-up or additional feedback?
Yes
No
17.
Additional comments
Evaluation object score
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