SPEAKER EVALUATION FORM - Private University
OFFICE OF HUMAN RESOURCES EMPLOYEE WELLNESS
SPEAKER EVALUATION FORM
Speaker Name: _____________________________________________________
Date of Presentation: _______/_______/_______
Location of Presentation: ________________________________________________
Please help me to increase the value of my presentation by evaluating my program.
On a scale of one (1=Poor) to five (5= Excellent), please rate the following areas related
to this program:
1
2
3
4
5
Speaker's knowledge
Speaker's style
Pace and timing
Program content
Overall score
What ideas did you find most helpful?_________________________________________ ________________________________________________________________________
Your thoughts and feedback on how to improve the program: ______________________ ________________________________________________________________________
Additional comments?_____________________________________________________ _______________________________________________________________________
I am interested in requesting this presentation for another department. I am interested in other health related topics such as: ____________ &
______________.
Please contact me:
Name: _________________________________________Title: ____________________ Department: _____________________________________________________________ Phone: ____________________________Email: ________________________________
Thank you!
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