SMSI Program Evaluation Survey
Evaluate the SMSI program by sharing your experience, ratings, outcomes, and suggestions for improvement. Please complete all required evaluation items.
Participant Information
Name
Organization or program affiliation
*
Role or relationship to the SMSI program
*
Please Select
Participant
Staff
Facilitator
Partner
Other
Email address for follow-up
example@example.com
Program Evaluation
Overall satisfaction with the SMSI program
*
Very dissatisfied
1
2
3
4
Very satisfied
5
1 is Very dissatisfied, 5 is Very satisfied
Relevance of the program to your needs
*
Not relevant
1
2
3
4
Highly relevant
5
1 is Not relevant, 5 is Highly relevant
Achievement of expected outcomes
*
Not achieved
1
2
3
4
Fully achieved
5
1 is Not achieved, 5 is Fully achieved
Experience and Improvement
Rate the following aspects of the program experience
*
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Content quality
1
2
3
4
5
Facilitation
6
7
8
9
10
Clarity
11
12
13
14
15
Pace
16
17
18
19
20
Relevance to my needs
21
22
23
24
25
Overall organization
26
27
28
29
30
What was the most valuable part of the program?
What suggestions do you have for improving the program?
Submit Survey
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