DEI Program Feedback Form

General Information

Was this your first time participating in a DEI program?*

YesNo

Date & Time of Participation

MonthDayYearHourMinutesAM/PM Option

Program Name*

[Enter the name of the DEI program you attended]

Overall Experience

How would you rate your overall experience in the DEI program?*

Excellent: The program exceeded my expectations, and I found it highly valuable.Good: The program was beneficial, but there is room for improvement.Fair: The program met some of my expectations, but there are significant areas for improvement.Poor: The program did not meet my expectations, and I did not find it valuable.

Content

Was the content of the program relevant and informative?*

Yes: The content was relevant to the objectives of the program and provided valuable insights.No: The content did not align with the objectives of the program or failed to provide useful information.Other

Please provide any additional comments or suggestions regarding the content.

[If you chose "other" to the aforementioned question]

Facilitation

How would you rate the facilitation of the program?*

Excellent: The facilitators were engaging, knowledgeable, and effectively guided the program.Good: The facilitators were competent, but there were occasional lapses in engagement or clarity.Fair: The facilitation was average, with some areas needing improvement in engagement or communication.Poor: The facilitation was ineffective, and it hindered my ability to engage or understand the program.

Please provide any additional comments or suggestions regarding the facilitation.

Engagement

Were you actively engaged throughout the program?*

Yes: I was actively involved and engaged with the content and discussions throughout the program.No: I struggled to maintain engagement or found it difficult to participate actively.Other

If "no" or "other", please share any reasons or suggestions for improvement.

Impact

Do you feel that participating in this program will positively impact your understanding of DEI issues?*

Yes: I believe participating in this program will positively impact my understanding of DEI issues and contribute to positive change.No: I do not think participating in this program will have a significant impact on my understanding of DEI issues.Other

Please elaborate on the potential impact of this program on you or your area within our organization.

Program Accessibility

Did you encounter any technical difficulties or challenges accessing the program materials or sessions?*

YesNo

If yes, please describe the technical difficulties or challenges you encountered.

Comments & Suggestions

Do you have any specific suggestions for improving future DEI programs?

Please feel free to share any additional comments, concerns, or feedback about the DEI program.