MENU
CLOSE
Who We Are
Mission & Values
HERstory
Leadership
Board of Directors
Employment Opportunities
Annual Reports
What We Do
Domestic & Sexual Violence Services
Herkimer County Child Advocacy Center
Racial Justice
Social Justice
Until Justice…Just Is
Education
Sky’s the Limit
K-12
AMEND Together
College & University Campus Advocacy
Community & Business Trainings
CROSSROADS
Request Education
Events & Giving
Sky’s the Limit
Salute to Outstanding Women
Wish List
Donate
Legacy & Planned Giving
Get In Touch
Contact Us
Newsletters
Blog & Newsroom
Media Personnel
Donate
Chat with Us
Quick Escape
Training/Presentation Evaluation Form
Home
Education & Outreach
Training/Presentation Evaluation Form
A-
A
A+
Please use this form to evaluate your training/education experience with YWCA Mohawk Valley.
Step
1
of
3
33%
Basic Information
Date of Training/Presentation
*
MM slash DD slash YYYY
Name of Trainer/Presenter
First
Last
Your Name
*
Your Organization/School Name
*
Address
*
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
Email
*
Phone
*
Demographics
For all known fields, please indicate the number of attendees in each of the following demographics. If there are zero participants who fit one of the following demographics, please type the number zero (0).
Gender Identity
Female
*
Please enter a number greater than or equal to
0
.
Male
*
Please enter a number greater than or equal to
0
.
Nonbinary
*
Please enter a number greater than or equal to
0
.
Prefer Not to Specify
*
Please enter a number greater than or equal to
0
.
Age
0 - 4
*
Please enter a number greater than or equal to
0
.
5 - 9
*
Please enter a number greater than or equal to
0
.
10 - 14
*
Please enter a number greater than or equal to
0
.
15 - 17
*
Please enter a number greater than or equal to
0
.
18 - 20
*
Please enter a number greater than or equal to
0
.
21+
*
Please enter a number greater than or equal to
0
.
Race & Ethnicity
White (Caucasian)
*
Please enter a number greater than or equal to
0
.
Hispanic, Latinx, or Spanish
*
Please enter a number greater than or equal to
0
.
Black or African American
*
Please enter a number greater than or equal to
0
.
Asian
*
Please enter a number greater than or equal to
0
.
American Indian/Native American
*
Please enter a number greater than or equal to
0
.
Other
*
Please enter a number greater than or equal to
0
.
If Other, Please Specify:
*
Evaluation
On a scale of 1 - 5, 1 being Poor and 5 being Excellent, please rank each of the following categories for the Presenter and the Presentation.
Presenter
On a scale of 1 - 5, 1 being Poor and 5 being Excellent, please rank each of the following categories for the Presenter for your session.
The Presenter delivered material in a clear and structured manner.
*
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
The Presenter was knowledgeable about the topic and any related issues.
*
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
The Presenter answered questions effectively.
*
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
The Presenter was well-organized and prepared.
*
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
The Presenter maintained my interest during the entire presentation.
*
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
Presentation
On a scale of 1 - 5, 1 being Poor and 5 being Excellent, please rank each of the following categories for the Presentation given for your session.
The Presentation was concise and informative.
*
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
The Presentation contained practical examples and useful techniques that applied to my specific audience.
*
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
The visual aids were effective.
*
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
The time allotted for this training/presentation was sufficient.
*
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
Overall, I would rate this training/presentation as:
*
1 - Poor
2 - Fair
3 - Good
4 - Very Good
5 - Excellent
Would you recommend this training/presentation to others?
*
Yes
No
General Considerations
Are there any topic areas you view as a concern and would like YWCA Mohawk Valley to consider for future trainings/presentations? If so, what are they?
Impact Statement (optional)