Trainer Evaluation Form

Please fill out this form the first time you use the Make Change Happen CD-ROM.

Trainer's Name:		E-Mail or phone:
Company:		City:
State:		Zip:
Type of group (describe)

Question	Total # of Participants Assessed	# Responding "YES" with correct explanation	# Responding "Yes" with no, or incorrect explanation	# Responding "NO"	# Responding "NOT SURE"
Pre-Assessment Results:
1a. I know what public policy is.
1b. I can give examples of public policy.
1c. I...can help create and change public policies
Post-Assessment Results:
1a. I know what public policy is.
1b. I can give examples of public policy.
1c. I...can help create and change public policies

2. When comparing the pre- and post-assessment student responses to Question 2, was there a change in participant attitudes or knowledge about what they can do to create or change public policy?

Yes

Describe the typical participant responses to Question 2 on the pre- and post-assessment:

Pre-Assessment
Post-Assessment

3. How did participants rate the training?

Please indicate the number of participants who assigned each rating to the items below.	# Rating Excellent	# Rating Very Good	# Rating Good	# Rating Fair	# Rating Poor
The overall training program
The course content
The activities
The handouts
The Make Change Happen CD-Rom (if used)
The PowerPoint® Overview (if used)

4. What are some of the most important things participants said they learned?

5.What are some of the things participants said they would DO after the training?

After pressing "submit" below, you will be redirected to the second part of the Trainers Evaluation Report.

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