Sample Activity Evaluation Form Questions
Sample Activity Evaluation Form Questions
Organization
Gives preliminary overview
Relates topic to practice
Keeps on-track with major theme
Utilizes smooth transitions
Summarizes/reviews key points
Information flows logically
Presentation
Explains subject matter in familiar language
Defines new or unfamiliar terms
Reinforces difficult concepts by repetition or examples
Speaks clearly and at appropriate volume
Speaks at appropriate pace
Uses appropriate presentation media
Instructional materials
Are appropriate length
Complement presentation
Can be used as a reference
Are well-organized
3-point scale:
Exceeds standards - Meets standards - Does not meet standards
Exceptional – Acceptable - Needs Improvement
Completely - Only partially - Not completely
4-point scale:
Outstanding - Excellent – Good – Fair - Needs improvement
Exceptional - One or two improvements needed - Many improvements needed - Awful
Agree strongly – Agree – Disagree – Strongly Disagree
Poor – Fair – Good - Very good
Very – Somewhat - Not very - Not at all
5-point scale:
Poor – Fair – Good - Very good - Excellent
Strongly agree – Agree – Neutral – Disagree - Strongly disagree
totally unclear - somewhat unclear - mostly clear - very clear - extremely clear
totally boring - mostly boring - somewhat interesting - very interesting - extremely interesting
useless - not very useful - somewhat useful - very useful - extremely useful
Descriptive scales:
1 = Presentation meets criteria; requires no changes
2 = Presentation meets most criteria; requires 1-2 changes
3 = Presentation requires several changes
4 = Presentation requires extensive changes; needs to be redone
Table format
Not Acceptable Needs Development Competent Excellent
Monograph needs to be Monograph was Monograph needs Monograph was very
rewritten; very confusing in many areas; clarification in one or two useful; I can apply the
disorganized; did not information is not very areas; information is information to my
understand any useful. useful. practice.
information.
This document is provided by ACPE as samples towards meeting the requirements of the CPE Standards. The items
may need modification and should be altered as necessary to meet the specific needs of each provider.
Released_March 2009
Written Comments:
Please provide evidence or examples for your assessment in question #___
Please provide suggestions for improvements for question #___
Please make one more comment about this CPE activity.
This document is provided by ACPE as samples towards meeting the requirements of the CPE Standards. The items
may need modification and should be altered as necessary to meet the specific needs of each provider.
Released_March 2009