Evaluation Form
Use the following rating scale for questions 1-4 below:
5 = Excellent 4 = Very Good 3 = Good 2 = Fair 1 = Poor N = Not Applicable
Clarity and Organization of Session
Speaker(s)' Knowledge of Topic
Value of Information for "Building a Healthy North Dakota"
1. What’s Making Us Sick & What’s Killing Us?
5
4
3
2
1
2. Panel I: Health and Lifestyles
3. Healthy People 2010: Goals for a Healthier U.S.
4. Panel II: Wellness Models
A. How would you rate the web accessibility?
Excellent Very Good Good Fair Poor
B. How would you rate your Healthy North Dakota Summit experience?
C. Was the length of the Healthy North Dakota Summit appropriate?
Too Long Just Right Too Short
D. What was the most valuable part of the Summit?
E. What was the least valuable part of the Summit?
F. What organization(s) do you represent?
G. How involved in developing a statewide wellness plan would your organization like to be? Very Involved Somewhat Involved Not Involved
Please describe:
H. Additional comments and/or suggestions.
Thank you for your input!