Company XYZ Address City, State Zip
Program Evaluation Template
Activity Title: Activity Date:
Speaker/ Presenter 1: Speaker/ Presenter 2:
2. Please rate the following components of this program: Excellent Good Fair Poor
3. Were the following speakers knowledgeable, relevant
and effective regarding the content of their presentation?
Knowledgeable Relevant Effective
Yes No Yes No Yes No
<Insert Speaker 1 Name>
<Insert Speaker 2 Name> (add additional lines for additional
4. Please rate the following components of this program: Strongly
Agree Disagree Strongly
The presentation met my expectations.
The speaker style was appropriate for the material presented.
The speaker was responsive to questions/comments.
The program met my objectives.
The information received was useful and beneficial.
(Select one. 4 = excellent, 1 = poor)
1. How would you rate this educational activity overall? 4 3 2 1
5. What did you like the most about this program?
8. Identify topics you would like to have presented at future meetings.
6. What did you like the least about this program?
7. Did you feel that there was commercial bias or influence in this activity? No Yes If yes, please explain:
9. General Comments:
Company XYZ is recognized by the Board of Certification, Inc. to offer continuing education for Certified Athletic Trainers. BOC Approved
Provider Number: PXXXX
If you answered no to any of the 3 categories, please explain: