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SAMPLE EVALUATION FORM #1

In order to continue to improve the quality of educational programming, the Department of Psychiatry, would
appreciate you taking a few minutes of your time to complete this evaluation. Your comments and suggestion will
help us to plan future lectures to meet your educational needs.

SESSION TITLE: QUARTER 1 ASSESSMENT ON MELCS


SESSION DATE: DECEMBER 11, 2020

1. Please rate the degree to which the following objectives of this series/lecture were met
(5=Completely; 4=to a high degree; 3=moderately; 2=minimally; 1=not at all)
Upon completion of this program, I will be able to:
Conceptualize cases from the point of view of a cognitive therapist
5 4 √ 3 2 1

Understand a range of techniques that could be applied in each situation


5 4 √ 3 2 1

For questions below: 5=Strongly Agree; 4=Agree; 3=Neutral; 2=Disagree; 1=Strongly Disagree
2. I acquired new skills or knowledge in relation to topic discussed
5 4 √ 3 2 1
3. The Lecture description was accurate
5 4 √ 3 2 1
4. The teaching format/length was suitable to content
5 4 √ 3 2 1
5. The teaching level was appropriate to audience
5 4 √ 3 2 1
6. The quality of the facilities was adequate for learning
5 4 √ 3 2 1
7. Presenter for this session:
Excellent Good Fair Poor
Expressed ideas clearly
4 3 2 1

Presented useful examples

4 3 2 1
Thoroughness of content
4 3 2 1

Speaking/teaching ability
4 3 2 1
Effectiveness of audiovisual aids

4 3 2 1

Responsiveness to questions
4 3 2 1
Handouts
4 3 2 1

8. Suggestions for future topics, as well as comments on how this program could be
improved to better suit your educational needs are always welcomed.

Changes in the tone of voice help make a lecture more engaging.

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