Sample Feedback Form

­Please Provide Your Feedback 

Qualitative Feedback 

In one word, describe this presentation: ___________________________


What is the most valuable thing you learned in this presentation?  ­
____________________________________________________________


Least valuable? ____________________________________________


The best thing about this presentation was: ______________________

If you were to change one thing about this presentation, it would be:
_____________________________________________________________

Quantitative Feedback

On a scale of 1 (low) to 5 (high), please evaluate the following:
1.  Your knowledge of the subject before this presentation
1  2  3  4  5


2.   After  
1  2  3  4  5


3.  Applicability of this presentation to your job
1  2  3  4  5


4.  How likely you are to use this information on the job
1  2  3  4  5


5.  Overall value of this presentation 
1  2  3  4  5


6.  Convenience of the meeting facilities 
1  2  3  4  5


7.  Conduciveness of the facilities to a
meeting
1  2  3  4  5


8.  Food 
1  2  3  4  5

Demographics

How did you hear about this meeting: ________________________


Are you an STC member? Yes/No


How many years have you been working in the field? __________