Program Evaluation Form

OHCA Program Evaluation

Thanks for taking a moment to fill out this survey. Your responses will be Anonymous.
Program or Workshop Title
Program Title (OTHER)
Enter Program/Workshop title if not listed in menu above
Facilitator (if different than shown in Workshop Title list)
Workshop Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearIf a workshop series, enter most recent date.

Please evaluate your experience with the WORKSHOP:

Rows	Strongly AGREE	AGREE	Somewhat AGREE	Disagree	Strongly DISAGREE
Workshop stimulated my creativity.
Workshop allowed me to explore and experiment.
Workshop met my expectations.
All necessary materials/equipment/resources were available, or I was clearly told what I should get in advance.
The fee was appropriate.

Please evaluate your experience with the FACILITATOR:

Rows	Strongly AGREE	AGREE	Somewhat AGREE	Disagree	Strongly DISAGREE
Facilitator was well prepared for the workshop.
Facilitator was knowledgeable in the subject area.
Manner of presentation of the material was clear.
Facilitator employed effective techniques.
I would take another workshop from this facilitator.

What were the strengths of this workshop?
How could the workshop be improved?
Did the workshop announcement have enough information for you to make a sound enrollment decision?
What changes to the announcement would you suggest?
How did you hear about the workshop? (check all that apply)

Other
I would like to be contacted about my experiences:
Name (Contact info will not be shared with Facilitator)

First NameLast Name
Email
example@example.com
Should be Empty:

OHCA Program Evaluation