Healthy Living Workshop Evaluation

Stepping On Workshop Participant Evaluation

Please help us make our Stepping On workshops the best they can be by completing this evaluation and returning it to one of the Leaders. Thank you. Workshop site: ______Today’s Date:______

Please rate the WORKSHOP LOCATION by circling the correct number:

1. The location of the workshop was convenient. 1 2 3 4 5

Poor Excellent

2. The classroom was comfortable and conducive to learning. 1 2 3 4 5 Poor Excellent

3. Other comments concerning the workshop location:______

Please rate the WORKSHOP LEADERS by circling the correct number: Group Leader #1: Name: ______1. The Leader was knowledgeable. 1 2 3 4 5 Poor Excellent

2. The Leader was prepared and organized. 1 2 3 4 5 Poor Excellent

3. The Leader communicated workshop information effectively. 1 2 3 4 5 Poor Excellent

4. We appreciate your feedback. Do you have any other comments or suggestions concerning this leader? ______Group Leader #2: Name______This program is supported, in part, by a Live Well at Home grant from Minnesota Department of Human Services. The questionnaire has been modified from an original used by the Wisconsin Institute of Healthy Aging developed by Dr. Jane Mahoney and team. 1. The Leader was knowledgeable. 1 2 3 4 5 Poor Excellent

2. The Leader was prepared and organized. 1 2 3 4 5 Poor Excellent

3. The Leader communicated workshop information effectively. 1 2 3 4 5 Poor Excellent

4. We appreciate your feedback. Do you have any other comments or suggestions concerning this leader?______

Please answer the following questions considering the WORKSHOP: 1. What did you like best about the workshop? ______

2. What changes do you think would improve the workshop? ______

3. Other comments concerning the workshop: ______

4. If you did not attend all 7 sessions, please check any reasons below that apply: I was ill or didn't feel well The workshop did not meet my needs I had other commitments Other ______

Comments:______

This program is supported, in part, by a Live Well at Home grant from Minnesota Department of Human Services. The questionnaire has been modified from an original used by the Wisconsin Institute of Healthy Aging developed by Dr. Jane Mahoney and team.