CE 115
DISABILITY INCOME INSURANCE
EVALUATION FORM

Seminar sponsor: _____________________________________________

Seminar location: _____________________________________________

Seminar date: _________________________________________________

For each item below, please circle the number that best corresponds to your response.

	Strongly Agree	Agree	Undecided	Strongly Disagree	Disagree
1. Seminar expectations were met.	1	2	3	4	5
2. Facilities were satisfactory.	1	2	3	4	5
3. The instructor was effective.	1	2	3	4	5
4. Seminar content was timely.	1	2	3	4	5
5. The seminar was effective.	1	2	3	4	5
6. I would recommend this seminar to my colleagues.	1	2	3	4	5

7. How would you describe the format of this seminar?

1 practically all lecture by instructor
2 mostly lecture with some group discussion
3 equal amounts of lecture and discussion
4 mostly group discussion with some lecture
5 practically all group discussion

8. In your opinion, this mixture was

1 too much lecture/too little discussion
2 appropriate mix of lecture and discussion
3 too little lecture/too much discussion

9. The seminar material (outline/case, etc.) handed out

1 is excellent
2 is good
3 is adequate
4 should be thoroughly revised

10. The seminar content

1 is excellent
2 is good
3 is adequate
4 should be thoroughly revised

11. How valuable do you consider this seminar for your career?

1 very valuable
2 valuable
3 not valuable

12. Overall, how satisfied are you with this seminar?

1 very satisfied
2 satisfied
3 dissatisfied

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COMMENTS:

Thank you. Your help in improving this program is appreciated.

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