Sample
NYS Forum Event Evaluation Form
- On a scale of 1-5, with 5 being the highest rating, what is your overall rating of the .......... event?
1 2 3 4 5 - Please tell us whether you agree or disagree with the following statement. The .......... event presentations were relevant to my work?
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree - On a scale of 1-5, with 5 being the highest rating, how would you rate the presentation by ..........
1 2 3 4 5 - On a scale of 1-5, with 5 being the highest rating, how would you rate the presentation by ..........
1 2 3 4 5
USE MORE QUESTIONS LIKE #3 AND #4 IF THERE WERE MORE PRESENTERS OR PANELS
- What would you suggest to improve the event?
- (Optional) If you would like to be contacted by The NYS Forum regarding other Forum work related to this topic, please complete the information below:
Name:
Title:
Agency:
Email:
Phone Number:
Thank you for taking the time to provide us with your feedback on this NYS Forum-sponsored event.

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