Tips on Creating Feedback Form

1)Make it ____________ to complete.

Pre-fill out workshop name, date, presenter, location….

#2 Keep it short

•No more than __ pageand __minutes to complete

#3 Use Mostly “____________” Questions

#4 Include Some “__________” Questions

#5 Tie questions back to goal(s)/________ of workshop

Workshop Title/Goal: Strategies for Families of students with Autism

Objective: To give families strategies to support their child at home on behavior, sensory, and social issues

Workshop Evaluation Questions:What role does sensory integration play in the life of a child with Autism?

This workshop increased your knowledge of behavior, sensory and social issues for Autistic Students? Yes Or No

This workshop increased your skills on strategies to support your Autistic Students at home? Yes Or No

#6 Include questions about gain of ___ & skill.

Workshop Title/Goal: Strategies for Families of students with Autism

Objective: To give families strategies to support their child at home on behavior, sensory and social issues

Workshop Evaluation Questions:What role does sensory integration play in the life of a child with Autism?

This workshop increased your knowledge of behavior, sensory and social issues for Autistic Students? Yes Or No

This workshop increased your skills on strategies to support your Autistic Students at home? Yes Or No

#7 Assess methods of communication ___________

#8 Assess _________ of Families

#9 Use ____ to determine workshop topic

23% 44% 26% 8%

72%

56% 8%36%

#10 Make completion of feedback form part of _________

Make time during workshop time for participates to complete evaluation either paper or electronic (survey monkey….)!

Workshop AgendaIf workshop is 2pm – 4pm….

3:40 – 3:50 pm Complete Evaluation & Turn In3:50 – 4:00 pm (Give out door prizes, resources, complete stipends, give certificates)

#11 Compile ___________ and Share

23% 44% 26% 8%

72%

FORMAT OF SURVEY• Paper & Pen• Electronic (i.e. Survey monkey,

Zoomerang….)• Existing Feedback Forms

Things to consider...

Thomas Guskey’s 5 Levels of PD Evaluation

Level 1: Participant ReactionLevel 2: Participant LearningLevel 3: Organizational Support and LearningLevel 4: Participant Use of New Knowledge and SkillsLevel 5: Student Learning Outcomes

Level 1: Participant Reaction

Purpose- Gauge the participants’ reactions.

Technique – Questionnaire.

Questions – Was presenter knowledge? Was your time well spent?

Level 2: Participant Learning

Purpose- Examine participants’ level of attained learning.

Technique – Personal reflection, survey, test.

Questions – Did participants learn what was intended?