Level One Evaluation Form

Activity Title: Dates: Location:

Schedule Code:

WBS Element No.

Instructions:

Please complete this questionnaire to help us improve our activities in the future. Please be honest and open. Your responses – no matter how positive or negative, are valuable to us. To keep them anonymous, please do not write your name on the form.

To answer the closed-ended questions, please completely fill the circles corresponding to your answers, like this: and not like this: .

If you made a mistake in marking an answer (that cannot be erased), please do the following to correct it: 1) fill the circle indicating your preferred answer, 2) draw an arrow to it, and 3) write the word “correct” next to the arrow.

1 Which of the following best describes your main role in this activity?

(Please fill only one circle.)

Participant (registered to attend this learning activity as a participant)

Observer (attended the activity, but did not register as a participant)

Resource person (organized, presented, facilitated, but did not register as a participant)

Other, please specify _____________________

2 How much of the activity were you able to attend?

(Please refer to the activity dates above, and fill in only one circle.)

All of it (that is, every day, all sessions)

Most of it (every day, but not all sessions, or not every day)

Half or less of it ((half or fewer of days/ sessions)

3 Are you a World Bank employee?

(Please fill only one circle.)

yes

no

4 Are you:

(Please fill only one circle.)

male

female

à

- Please rate each aspect of the activity listed below on a progressive scale of 1 to 5, where 1 is the minimum and 5 is the maximum.

- If you feel that a question does not apply to you, or that you do not have enough information to express an opinion, please fill the “no opinion” option.

- Please fill only one circle per question.

5 Relevance of this activity to your current work or functions

6 Extent to which you have acquired information that is new to you

7 Usefulness for you of the information that you have obtained

8 Focus of this activity on what you specifically needed to learn

9 Extent to which the content of this activity matched the announced objectives

10 Overall usefulness of this activity

Thank you for completing this questionnaire.

Please put it in the “Questionnaire Box” by the door before leaving.