International Exchange Program Impact Evaluation
Please complete this form to help us assess the outcomes and impact of your participation in the international exchange program.
Participant Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Country of Origin
*
Please Select
United States
Canada
United Kingdom
Germany
France
India
China
Brazil
Australia
Other
Host Country of Exchange Program
*
Please Select
United States
Canada
United Kingdom
Germany
France
India
China
Brazil
Australia
Other
Dates of Participation
*
Type of Exchange Program
*
Academic
Professional
Cultural
Volunteer
Other
Please rate the following aspects of your exchange experience:
*
Rows
Very Poor
Poor
Average
Good
Excellent
Pre-departure orientation
1
2
3
4
5
Support during the program
6
7
8
9
10
Accommodation quality
11
12
13
14
15
Academic/professional learning
16
17
18
19
20
Cultural integration
21
22
23
24
25
Personal development
26
27
28
29
30
How much do you agree with the following statements about the impact of the program?
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
I improved my language skills.
31
32
33
34
35
I developed intercultural understanding.
36
37
38
39
40
I gained new academic/professional skills.
41
42
43
44
45
I expanded my global network.
46
47
48
49
50
The program positively influenced my future goals.
51
52
53
54
55
Overall, how would you rate your exchange experience?
*
1
2
3
4
5
What was the most valuable aspect of your exchange experience?
Please share any suggestions for improving the exchange program.
Submit Evaluation
Should be Empty: