Our House, Inc. - Community Event Feedback Form

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Thank you for attending this event. We are interested in your feedback about this meeting. Please take a moment to give us your opinion on this evaluation form.
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Date of Event* This field is required.
Date
Month
Day
Year
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Name of Educational Session* This field is required.
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Participant Information:
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Full NameOptional
First Name
Last Name
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Occupation* This field is required.
Advocacy Organization
Batter Intervention Staff
Board Member
Child Welfare/Children Advocate
Community Advocacy Organization Staff
Correction Personnel
Court Personnel
Educators
Faith Based Organization Staff
Government Agency Staff
Health Professional
Immigration Organization Staff
Legal ServiceStaff
Mental Health Professional
Military
Multi-Disciplinary Team Member
Prosecutor
Retired
Sex Offender Treatment Program Staff
Sexual Assault Forensic Examiner
Social Service Organization Staff (non-governmental)
Social Service Organization Staff
Student
Substance Abuse Treatment Provider
Translators/Interpreters
Tribal Government Staff
Victim Advocate (Culturally Specific-DV or SA)
Victim Advocate (Domestic Violence)
Victim Advocate (Human Trafficking)
Victim Advocate (Sexual Assault)
Victim Advocate (non-governmental)
Victim Assistants (governmental, includes victim witnesses and coordinators
Volunteer
MS Valley State University Staff
Sexual Assault Coalition Staff
Public Health Professional
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Race
Black
Hispanic
White
Other
Please choose your ethnic background
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Gender
Female
Male
LGBTQI+
Other
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Type a question* This field is required.
YesNo
YesNo
YesNo
Did the event start on time?
Did the event end on time?
Was a break include within the training time?
Did the event start on time?
YesNo
YesNo
YesNo
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4. Please evaluate the following statements* This field is required.Overall Feedback
Strongly Disagree
Disagree
Not Sure
Agree
Strongly Agree
The event was well-planned.
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We achieved the planned objectives.
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The right people were involved in the event.
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People came prepared.
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We managed our time wisely.
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The location was convenient.
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The event was well-planned.
We achieved the planned objectives.
The right people were involved in the event.
People came prepared.
We managed our time wisely.
The location was convenient.
Strongly Disagree
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Disagree
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Not Sure
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Not Sure
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Not Sure
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Not Sure
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Not Sure
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Agree
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Strongly Agree
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Strongly Disagree
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Disagree
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Not Sure
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Agree
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Strongly Agree
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5. How well did we manage the interaction between participants?* This field is required.
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Very Bad
Very Well
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6. What did we do well that we should keep doing?
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7. What did we do that we should avoid doing in future events?
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8. What didn't we do that we should have done?
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9. All in all, how productive was the event?
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Not At All
Extremely
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Rate the Presenter

(please complete a rating score for the presenter)
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Speaker's Name* This field is required.Please type the presenter's name below!
First Name
Last Name
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Speaker - Overall Rating* This field is required.
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5
Not Good
Excellent
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Speaker's Material Presented* This field is required.
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No Material
Excellent materials
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How well did the Speaker met the objectives for the event?* This field is required.
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Not Good
Excellent
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Responsiveness to questions asked* This field is required.
YesNo
YesNo
Did the Presenter allow participants to ask questions?
Did the Presenter response to the questions asked (if any)?
Did the Presenter allow participants to ask questions?
YesNo
YesNo
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Time allocated to Presenter* This field is required.
Not Satisfied
Somewhat Satisfied
Satisfied
Very Satisfied
Time
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Time
Not Satisfied
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Somewhat Satisfied
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Satisfied
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Very Satisfied
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Please share what you have learned and how you plan to apply it!* This field is required.
Please write down any comment you want to add.
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