Activity Evaluation Form for California MCLE

(Please return to CCE)

Provider:
Center for Continuing Education (CCE)
395 Del Monte Center, #178, Monterey, CA 93940
1-800-443-MCLE (6253)

Title of Activity: ____________________________________________________

Date of Offering: ____________________________________________________

Name of Participant (Optional): ______________________________________

Directions:
On a scale of 1-5 (with 5 being the highest, best or most and 1 being the least, lowest or worst) rate by circling the number reflecting your opinion.

The extent to which your personal objectives were satisfied.

5  4  3  2  1

Comments: ____________________________________________________________



The extent to which the environment contributed to the learning experience.

5  4  3  2  1

Comments: ____________________________________________________________



The extent to which the objectives stated in the promotional literature or those stated at the beginning of the activity were satisfied.

5  4  3  2  1

Comments: ____________________________________________________________



The extent to which the activity contained significant current intellectual or practical content.

5  4  3  2  1

Comments: ____________________________________________________________



Please rate the faculty, utilizing the same scale



Overall Teaching Effectiveness

Instructor: _____________________________________________________  5  4  3  2  1

Instructor: _____________________________________________________  5  4  3  2  1

Instructor: _____________________________________________________  5  4  3  2  1



Effectiveness of Teaching Methods

Instructor: _____________________________________________________  5  4  3  2  1

Instructor: _____________________________________________________  5  4  3  2  1

Instructor: _____________________________________________________  5  4  3  2  1



Significant Current Intellectual/Practical Content

Instructor: _____________________________________________________  5  4  3  2  1

Instructor: _____________________________________________________  5  4  3  2  1

Instructor: _____________________________________________________  5  4  3  2  1



Thank you for your participation.

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