Survey : Questions

1.

We are interested in your valuable opinion on our Education and Health programs. How familiar are you with this program?

Very familiar

Familiar

Neutral

Unfamiliar

Very unfamiliar

2.

Rate the degree to which you agree/disagree with the following statements.

	Highly Disagree	Somewhat Disagree	Neutral	Somewhat Agree	Highly Agree
This program broadened my knowledge of the topic.
This program allowed me to meet new people.
This program helped me improve the community.
This program made it easy to become involved.
This program was a well-run operation.

3.

Please rate your satisfaction with the following aspects of the program.

	Very Dissatisfied	Somewhat Dissatisfied	Neutral	Somewhat Satisfied	Very Satisfied
Timing
Clearness of communications
Interactions with organization staff
Overall message of program
Training provided

4.

How likely is it that you would recommend our program to a friend or colleague?

Very likely

Somewhat likely

Neutral

Somewhat unlikely

Very unlikely

5.	Please share your suggestions for program improvement.
	350 characters left.