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S.A.F.E. Education Evaluation Center

TEACHER EVALUATION

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Name of Presenter
Date of Presentation
Topic of Presentation:
School Name/Organization
First Name
Last Name
Address Line 1
City
Zip Code
Daytime Phone() -
E-mail Address
Do You feel this presentation was appropriate for your class?
Do you feel the length of the program was appropriate?
Rate your opinion of the information relayed in this program (1 = Beneficial 2=Some Benefit 3=Not Beneficial)
Do you feel the puppet/video/activity/PowerPoint used in this presentation was effective (1=Effective / 2=Acceptible /3=Not Effective)
Do you have any suggestions for future programs? Please explain.
Please list any general comments you have about the presentation:
Thank you for taking time to help us improve our programs.
Please contact us if you need additional information or have any questions.
1410 Sunset Ste. G, Vandalia, IL 62471 (618) 283-1414
730 E. 2nd St., Centralia, IL 62801  (618) 533-0475
1108 S. Willow Ste. 12, Effingham, IL 62401  (217) 342-6623
A United Way Community Partner

Imagine a world without sexual violence!