Safe Food For the Hungry -- II

Participant's Evaluation

Site: ______________________________________________________

1. How did you like the program?  (Check one answer.) 

____ I liked it very much 

____ I liked it 

____ It was O.K. 

____ I did not like it 

2. What did you think about the following?

a. Food Safety broadcast: 

____ Very useful 

____ Somewhat useful 

____ Not useful

b. Nutrition broadcast:

____ Very useful 

____ Somewhat useful 

____ Not useful

c. Volunteer Management broadcast: 

____ Very useful 

____ Somewhat useful 

____ Not useful

d. Workshop Activities: 

____ Very useful 

____ Somewhat useful 

____ Not useful

3. How will you use the program materials you received today?

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4. How will you use the information you received today?

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5. How did you find out about today's program?

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6. Did today's program meet your expectations? (Check one.)

____ Absolutely yes 

____ Somewhat yes 

____ I had no expectations 

____ Probably not 

____ Definitely not 

7. How could today's program be improved?

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8. What part of today's program did you like the most? Why?

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9. What part of today's program did you like the least? Why?

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10.	Would you attend another program of this nature in the future? 

____ Yes, similar content and format (via satellite
      broadcast)
____ Yes, similar content, but different format (not via
     satellite broadcast) 
____ Yes, same format (via satellite broadcast) but different
     content 
____ No, not interested in another like this 

11. What additional topics would you be interested in?

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Comments:





Optional Information: The following information would be helpful to us in 
our continued research on adult learning.  If you are uncomfortable with 
giving us this information, please feel free to leave this section blank. 

What is your gender?    female    male 

What is your ethnic background?

____ Asian

____ American Indian

____ African American

____ Caucasian

____ Hispanic

____ Other


In what year were you born? _______

What is the highest level of education you have completed?

____ Some high school 

____ Technical or 2 year college or some college 

____ High school graduate 

____ 4 year college graduate or beyond


What is your occupation?  (please fill in)



With what type of not-for-profit organization do you work?

____ food bank

____ shelter

____ food pantry

____ soup kitchen 

____ other, please specify 



Return to: 

April Mason 
Department of Foods and Nutrition 
Purdue University 
1264 Stone Hall 
West Lafayette, IN  47907-1264