EVENT / ACTIVITY EVALUATION
Activity / Event Evaluation
Please let us know how you were feeling at the beginning of the event / activity and then again at the end. We want to know how the activity / event impacted you so we will know how to make it better. Thank you.
1.
Date of event
2.
Name of event
3.
First Name
4.
Initial of Last Name
5.
Grade
I am not a student
5th grade
6th grade
7th grade
8th Grade
9th Grade
10th Grade
11th Grade
12th grade
Graduated
Post Secondary / Technical Training
6.
Age
12
13
14
15
16
17
18
19
20
21+
7.
I AM
Black
White
Latin / Spanish
Asian
Other (please specify)
8.
I am
female
male
other
I prefer not to answer
9.
When I started this activity, I was
feeling terrible
not feeling so good
feeling ok
feeling pretty good
feeling great
10.
When this activity ended, I was
feeling terrible
not feeling so good
feeling ok
feeling pretty good
feeling great