We greatly appreciated the opportunity to speak to your group. Thank you for taking the time to provide us with feedback. If you need further assistance, call Sharon Younkin at (608) 262-4204.

School / Agency:

Date of Presentation:

MonthJanFebMarAprMayJunJulAugSepOctNovDec

Day12345678910111213141516171819202122232425262728293031

Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050

Evaluator:

Email: *

Speaker(s):

Topic: select...Healthy LifestylesHealth & body imageSexual responsibilityAIDS & other STDsSmoking & tobacco useAlcohol & other drug abuseBody SystemsOther

Grade Level: select...KindergartenFirst gradeSecond gradeThird gradeFourth gradeFifth gradeSixth gradeSeventh gradeEighth gradeFreshmanSophomoreJuniorSenior

1. Requested information was covered: select...ExcellentVery goodGoodFairPoor

2. Presentation was appropriate to age / understanding level of group: select...ExcellentVery goodGoodFairPoor

3. Speakers were knowledgeable about topic: select...ExcellentVery goodGoodFairPoor

4. Speakers interacted well with class: select...ExcellentVery goodGoodFairPoor

5. Speakers responded well to questions: select...ExcellentVery goodGoodFairPoor

6. Overall, I would rate the presentation: select...ExcellentVery goodGoodFairPoor

Please comment on the strengths of the speakers or the presentation.:

Please list any suggestions for improvement or new topics.:

CAPTCHA

This question tests whether you are a human visitor (to prevent automated spam submissions). The code will contain six numbers or uppercase letters.

What code is in the image?: *

Copy the characters (respecting upper/lower case) from the image.