Your evaluation is very important to others.
Please include any comments you have that will
help educators decide if the program would meet their needs.

Teacher Name: 
School: 
District: 
Grade(s): 
K 1 2 3 4 5

6

7 8 9 10 11 12

Special Needs 

Number of Students: 
Teacher Email: 
Phone: 
Content Provider: 
Title of Program: 
Subject Area: 
Standards Addressed: 
Use the following scale to answer questions 1 - 15 below.
5=Excellent 4=Very Good 3=Average 2=Below Average 1=Poor
1. Usefulness of program
5 4 3 2 1 N/A
2. Organization of program
5 4 3 2 1 N/A
3. Length of program
5 4 3 2 1 N/A
4. Quality of presenter(s)
5 4 3 2 1 N/A
5. Responsiveness to questions
5 4 3 2 1 N/A
6. Quality of questions/Inquiry skills
5 4 3 2 1 N/A
7. Amt. of interaction betw. provider & class
5 4 3 2 1 N/A
8. Quality/appropriateness of interaction
5 4 3 2 1 N/A
9. Pre- and post-conference materials
5 4 3 2 1 N/A
10. Intended outcome was achieved
5 4 3 2 1 N/A
11. Content was conveyed to students
5 4 3 2 1 N/A
12. Standards/curriculum addressed
5 4 3 2 1 N/A
13. Technical effectiveness of lesson
5 4 3 2 1 N/A
14. Appropriateness for grade level
5 4 3 2 1 N/A
15. Program met your expectations
5 4 3 2 1 N/A
Would you recommend this program to others? Why or why not?
What would improve the program?
Did the experience complement the classroom experience? If so, how?
Comments:



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