PEERS Activity Evaluation

Questions marked with an asterisk (*) are mandatory.

  1. Please enter the name of your PEERS Instructor(s) and Activity. *


  2. Teacher's Name *

  3. School: *

  4. Grade Level *

  5. Date of Activity *

Please rate your agreement with the following statements.

6. The Instructor(s)…*

1: Totally Agree 2: Somewhat Agree 3: Disagree 4: N/A

          Showed respect for all students
            1      2     3      4
          Was open and receptive to ideas
            1      2      3      4
          Showed sensitivity to cultural differences
            1      2      3      4

7. The Instructor(s)…*

1: Totally Agree 2: Somewhat Agree 3: Disagree 4: N/A

          Showed expertise in the subject matter
            1      2      3      4
          Was current with developments in field
            1      2      3      4
          Integrated theory with real-world examples
            1      2      3      4

8. The Instructor(s)…*

1: Totally Agree 2: Somewhat Agree 3: Disagree 4: N/A

        Communicated clearly
            1      2      3      4
          Communicated candidly and constructively
            1      2      3      4
          Maintained communication confidentiality
            1      2      3      4

9. The Instructor(s)*

1: Totally Agree 2: Somewhat Agree 3: Disagree 4: N/A

          Has advanced knowledge of the subject
            1      2      3      4
          Showed enthusiasm toward the subject
            1      2      3      4
          Used helpful examples and references
            1      2      3      4
          Encouraged interaction
            1      2      3      4

10. The Instructor(s)*

1: Worst Performace 2 3 4 5: Best Performance

          Explained objectives clearly
            1      2      3      4      5
          Was prepared
            1      2      3      4      5
          Maintained a positive environment
            1      2      3      4      5
          Made the subject enjoyable as well as educational
            1      2      3      4      5

11. As a result of what you learned from this activity, would you be more likely to participate in another technical activity? *

            Yes      No

12. If this activity was used again in the future, what changes do you suggest? *



13. How well do you believe your learning objectives were met by this PEERS activity? *

1: Did not Meet 2: Somewhat Met 3: Neutral 4: Met 5: Exceeded

1 2 3 4 5

14. What suggestions do you have to improve the PEERS program? *