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Junior Medical Camp

Date of Program

Time of Program

Program Title

Educator's Name

First Name

Last Name




Grade Level



On a 1 to 5 scale, with "1" being not satisfied at all, and "5" being very satisfied.

  1 2 3 4 5
How satisfied were you with the overall program?
The process of scheduling the program and making a reservation was organized and easy to follow
The staff was helpful and courteous
If the topic was of interest, I would sign up another program offered by HealthSpace Cleveland
Program Evaluation

On a 1 to 5 scale, with "1" being strongly disagree, and "5" being Strongly Agree.

1 2 3 4 5
The content covered was supportive of my school's health / life science curriculum
The program enhanced student motivation and generated enthusiasm for the topic(s) covered.
The instructional strategies were engaging and involved students in the program.
The instructor allowed ample time for questions & open dialogue.
The instructor encouraged active student participation.
The instructor was easy to understand and enthusiastic about the subject
The pre- and post- activities & handouts encouraged participation and enhanced student learning.
An appropriate amount of material was covered in the program.
The program offered a unique leaning experience above and beyond what I could provide in my classroom.
Generally speaking, my class enjoyed the distance learning experience.

  On a 1 to 5 scale, with "1" being not satisfied at all, and "5" being very satisfied.

1 2 3 4 5
The on-site technical support was adequate for setting up and making a connection.
The conference was very technically successful. (I.e. good picture and sound)
An ample amount of time was allocated to resolve any technical issues.
Comments (I.e. general comments, suggestions for new classes, ideas on how we can better serve your school)