Level One
Evaluation Form
Activity Title: Dates: Location:
Schedule Code:
WBS Element No.
Instructions:
Please complete this questionnaire to
help us improve our activities in the future.
Please be honest and open. Your
responses – no matter how positive or negative, are valuable to us. To keep them anonymous, please do not write
your name on the form.
To
answer the closed-ended questions, please completely fill the circles
corresponding to your answers, like this: and not like this: .
If you made
a mistake in marking an answer (that cannot be erased), please do the following
to correct it: 1) fill the circle
indicating your preferred answer, 2) draw an arrow to it, and 3) write the word
“correct” next to the arrow.
1
Which of the following best describes your main role
in this activity?
(Please fill
only one circle.)
Participant
(registered to attend this learning activity as a participant)
Observer
(attended the activity, but did not register as a participant)
Resource person (organized, presented,
facilitated, but did not register as a participant)
Other, please specify _____________________
2
How much of the activity were you able to attend?
(Please
refer to the activity dates above, and fill in only one circle.)
All
of it (that is, every day, all sessions)
Most
of it (every day, but not all sessions, or not every day)
Half or less of it ((half or fewer of days/
sessions)
3
Are you a World Bank employee?
(Please
fill only one circle.)
yes
no
4
Are you:
(Please fill only one
circle.)
male
female
à
-
Please rate each aspect of the activity listed below on a
progressive scale of 1 to 5, where 1 is the minimum and 5 is the maximum. -
If you feel that a question does not apply to you, or that
you do not have enough information to express an opinion, please fill the “no
opinion” option. -
Please fill only one circle per question. |
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5
Relevance of this activity to your current work or
functions |
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6
Extent to which you have acquired information that
is new to you |
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7
Usefulness for you of the information that you have
obtained |
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8
Focus of this activity on what you specifically
needed to learn |
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9
Extent to which the content of this activity
matched the announced objectives |
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10
Overall usefulness of this activity |
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Thank you for completing this questionnaire.
Please put it in the “Questionnaire Box” by the door before leaving.