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Program Evaluation Survey
Date: ____________________________
Grade level (please circle):
9th 10th
11th 12th
Please use the following scale to rate how well each of these services were
provided for you. For each service, please check the number that best describes
the function:
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I. Provides the following services: |
1=Poor |
2=Fair |
3=Good |
4=Excellent |
Didn’t Use |
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1. College Planning |
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2. SAT/ACT prep workshops |
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3. Tutoring/Academic instruction |
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4. College |
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5. Career Counseling |
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6. Individual Counseling |
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7. Group Counseling |
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8. Financial Counseling |
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9. Workshops for parents and students on
college admissions process |
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10. Overall, how would you
rate this program? |
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II. Choose one service provided in the program and describe how it was beneficial to you, and any possible changes that could
contribute to the effectiveness of the service.
1.___________________________________________________________________________________
__________________________________________________________________________
III. Did this program meet your
expectations?
Yes
No
Please
Explain:__________________________________________________________________________
IV. Additional
Comments:__________________________________________________________________