Program Evaluation Form

(* Required information. All other information is optional).

Program Evaluation for,
Season: * SummerFallWinter/Spring
Year: *

Program Name: *

Instructor Name: *

Day / Time: *

Location: *

1. Check one for each of the following,

Ease of registration: *
ExcellentVery GoodGoodFairPoor

Program instructor: *
ExcellentVery GoodGoodFairPoor

Facility cleanliness: *
ExcellentVery GoodGoodFairPoor

Overall experience: *
ExcellentVery GoodGoodFairPoor

Comments:

2. Would you recommend this program to others? *
YesNo

Why or why not?

3. How did you or your child benefit from participating in this program? *

Comments:

4. Check one for each of the following,

Registration form was clean and easy to read: *
ExcellentVery GoodGoodFairPoor

Program was set up prior to class: *
ExcellentVery GoodGoodFairPoor

The Instructor was:

Able to answer my questions: *
ExcellentVery GoodGoodFairPoor

Ready to begin on time: *
ExcellentVery GoodGoodFairPoor

Knowledgeable: *
ExcellentVery GoodGoodFairPoor

Approachable: *
ExcellentVery GoodGoodFairPoor

Friendly: *
ExcellentVery GoodGoodFairPoor

5. How did you find out about this program? *
Park District brochureFlyer / posterWebsiteNewspaper articlePast experienceFriendOther

If you chose "Other" above please type your answer below:

6. How did you register for this program? *
In person at Club Fitness/Centennial Rec CenterIn person at Community Rec CenterOn lineFaxDrop-offOther

If you chose "Other" above please type your answer below:

7. Was this process efficient? *
YesNo

Why or why not?

8. If you have any other comments that you feel could benefit the Park District, please list them here:

9. Do you have an idea for a future class or special event?

OPTIONAL

Name (first & last):

Address:

Phone (ie: (847) 123-1234):

Your Email: