Program Evaluation Form

Program Evaluation Form

Name:		Date:
School:	Grade Level:	District:
Address:	City:	State:	Zip:
Telephone:( )	Best time to call:

Learning Objectives

To promote an awareness and appreciation of individual differences.
To develop compassionate understanding among young children.
To increase basic knowledge of kindness.

Please rate the following questions:	Excellent	Good	Fair	Poor
Classroom lessons and activities assisted in meeting these objectives	1	2	3	4
Objectives were appropriate for children	1	2	3	4
Learning activities and related materials were satisfactory	1	2	3	4
Supplementary materials were beneficial to the program	1	2	3	4
Zink the Zebra - A Special Tale Storybook was an asset to the curriculum	1	2	3	4
Preparation time required for lessons was appropriate	1	2	3	4
Procedures were clearly stated and easily implemented	1	2	3	4
Lessons were logically sequenced	1	2	3	4
Sufficient information was provided to comfortably facilitate group discussions	1	2	3	4
I would like to teach this program again next year	Yes		No

Comments:

Suggestions:

Thank you for completing this evaluation form. Your responses are important and will be carefully reviewed by the Educational Committee of the Zink the Zebra Foundation, Inc. and the Health Education Center of Wisconsin.

Please return to:
Zink the Zebra Foundation, Inc.
5150 North Port Washington Road, Suite 151
Milwaukee, WI 53217
Phone: 414-965-4484 | Fax: 414-963-1393 |www.zinkthezebra.org

Zink the Zebra Foundation, Inc. Copyright 2000 Preschool
Health Education Center of Wisconsin