C. Program Evaluation Form

Topic ___________________________________________  Date ___________________

Please circle your responses on the rating scales in the spaces provided:

1.   The information presented in this program will be useful to me in my 
     current position.

     Strongly                                          Strongly
     Disagree                                          Agree
     ____________________________________________________________________
     1         2         3         4         5         6    +

2.   The speaker was well qualified to speak on the topic(s) presented.

     Strongly                                          Strongly
     Disagree                                          Agree
     ____________________________________________________________________
     1         2         3         4         5         6    +

3.   The speaker's presentation was effective.

     Strongly                                          Strongly
     Disagree                                          Agree
     ____________________________________________________________________
     1         2         3         4         5         6    +

4.   The time allocated to each portion of the topic was adequate.

     Strongly                                          Strongly
     Disagree                                          Agree
     ____________________________________________________________________
     1         2         3         4         5         6    +

5.   The facilities for the program were adequate.

     Strongly                                          Strongly
     Disagree                                          Agree
     ____________________________________________________________________
     1         2         3         4         5         6    +



6.   Overall, how would you rate this program?

     Strongly                                          Strongly
     Disagree                                          Agree

     ___________________________________________________________________
     1         2         3         4         5         6    +

7.   Is there any area of the topic that you felt was not covered in sufficient 
     depth?

     Yes_____ No _____  If yes, which area (please comment) ______________

     _____________________________________________________________________


8.   Is there any area of the topic that you felt was covered in too much 
     detail?

     Yes_____  No_____  If yes, which area (please comment) ______________

     _____________________________________________________________________

     _____________________________________________________________________

9.   What specific topics or points of discussion, which were not covered,
     would you want included?

     ______________________________________________________________________

     ______________________________________________________________________

10.  General comments: ____________________________________________________

     ______________________________________________________________________

     ______________________________________________________________________

Optional:

________________________      _________________________
     (name)                             (phone number)

________________________
     (address)
________________________

________________________

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