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(4.7 based on 111 votes)
RELEVANCY
1. Information could be applied to practice
2. Information could contribute to achieving
personal, professional goals
1 2 3 4 5
1 2 3 4 5
FACILITY
1. Was adequate and appropriate for session
2. Was comfortable and provided adequate
space
1 2 3 4 5
1 2 3 4 5
This program enhanced my
professional expertise.
____ Substantially ____ Somewhat ____ Not at all
I would recommend this
program to others.
____ Yes ____ No ____ Not sure
COMMENTS/PROGRAM IMPROVEMENTS:
I would like (name of APA-approved sponsor) to provide seminars or workshops on the following topics:
IN GENERAL
Do you prefer: ____half-day seminars ____full-day seminars ___multi-day seminars
Do you prefer seminars in: ____hotels ____hospital ____no preference
How much time do you need to respond to a program announcement?
____less than 1 month ____4 to 6 weeks ____more than 6 weeks
How did you learn about this program?
____brochure ____supervisor ____colleague ____other
How far did you travel to attend this program?
____0-25 miles ____25-50 miles ____50-100 miles ____over 100 miles
If you would like to comment in person, please feel free to call the Office of Education at [phone number].
THANK YOU
Sample Program Evaluation Form Page 2
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