Target Audience: Workshop participants in family living Cooperative
Extension Programs
Comments about the tool: This two-part, simple evaluation tool
is based on Claude Bennett's theory of how and when people change
their knowledge, attitudes, and behaviors as a result of taking
in research-based information.
Contact who has experience using this assessment instrument:
Robert J. Fetsch
Colorado State University
(303)491-5889
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Title of program____________________________________________
Date of program______________________________ County___________________
1. Compared with other educators, I would rate this presenter
as: (Please circle one number.)
Much Worse --- Same --- Much Better
1 2 3 4 5 6 7 8 9
2. As a direct result of this program, my knowledge about this
subject has increased: (Circle one.)
None at all --- Somewhat --- Greatly
1 2 3 4 5 6 7 8 9
3. I plan to use the information presented in this program: (Circle
one.)
None at all --- Somewhat --- Greatly
1 2 3 4 5 6 7 8 9
4. If I were to receive additional educational information on
this subject, I would like it via... (Please circle one or more.)
a. workshop
b. newsletter
c. newspaper
d. radio
e. publications
f. audio tapes
g. video tapes
h. computer software
i. research summaries
5. The most important idea I learned is:
6. What I liked best about this program is:
7. What I would like to see improve about this program is:
8. Your tax dollars support this learning experience either totally
or in part. Do you want your tax dollars to continue to support
this type of program? ______Yes ______No
9. What is your gender? _______Female ______Male
10. What is your age: (Circle one.)
a. Under 19
b. 19-30
c. 31-40
d. 41-50
e. 51-60
f. 61-70
g. Over 70
11. What is your race or ethnic background? (Circle one - optional.)
a. White, not Hispanic
b. Hispanic
c. Black
d. American Indian/Alaska Native
e. Asian or Pacific Islander
f. Other_______________
12. How many years of education have you completed? (Circle one.)
a. Less than high school
b. High school graduate (GED)
c. Some college or technical school
d. College graduate or more
THANK YOU for helping us help you put research-based knowledge
to work. Please return your completed form to your program leader.
Revised by Pat Johnson and Robert J. Fetsch (HUHY1 10.012).
Evaluation Tools Page
ENTRY DATE:: May 1998