Name ________________________________

Service Project Response Form

Participant Evaluation Form

Please respond to each of the following questions by circling the number that best represents your opinion about the presentation(s). Use the following scale:

   Strongly Agree  Agree Neutral Disagree Strongly Disagree
The information presented was interesting.  5 4 3 2 1
The information presented was new to me.  5 4 3 2 1
I will use and apply this information in my life.  5 4 3 2 1
Overall, the presenter did a good job.  5 4 3 2 1

 Please provide any comments about what you experienced and learned.

 Name of KIN 370 student PRESENTER (not your name)  
Your Occupation:  
Your Sex (circle one): Male or Female
Your Age:  
Your Ethnicity (circle all that apply):

African-American

Latino

Asian

Caucasian

Native American

From more than one ethnicity

Other (please write in) ____________

Go to Jim Grizzell's Web Page at Cal Poly Pomona

March 1998