The following are statements about the health promotion program activity. Please check the box that best describes your opinion. Your responses are important and will help to design future programs.

Date: ______________________ Topic: ______________________	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
Overall, the quality of the presentation was good.
The presentation was well organized
The presenter was well prepared.
The presenter answered all questions.
The slides/overheads were easy to read.
The instructor made technical terms easy to understand.
The material was interesting.
This information has caused me to change my thinking and attitudes about this subject.
I will use this information to change my behavior (eating, exercise, shopping...)
I would recommend this presentation to my friends, Family, and co-workers.
I found out about this presentation by which of the following: (Indicate by circling your selection).	poster	e-mail	flyer	Co-worker	other

ADDITIONAL QUESTIONS:

What area did you find the most interesting?

What new information did you learn?

What would you change about the structure of the seminar?

What other topic would you like to have presented in future sessions?

What caused you to be interested in coming to this educational health seminar?

What additional information on this topic would you have liked to include?