HEALTH
MODULE How to Recognize and Stop Sexual Harassment |
APPENDIX H
EVALUATION SURVEY
Your gender is (circle one): MALE - FEMALE
What grade are you in? ___________
How much time was spent on this course on sexual harassment?
Was the course: ____ too long ____ too short ____ just right
The amount of information was: ____ too much ____ too little ____ just right
Please answer the following questions about your course on SEXUAL HARASSMENT. For each statement:
Circle 5 if you strongly agree
Circle 3 if you agree
Circle 1 if you strongly disagree
| I learned a lot I didn't know before | 5 | 3 | 1 | |||
| The course held my interest | 5 | 3 | 1 | |||
| Things I learned are useful to my life now | 5 | 3 | 1 | |||
| Things I learned will be useful to my life in the future | 5 | 3 | 1 | |||
| The course will help our school now | 5 | 3 | 1 | |||
| The course will help our school in the future | 5 | 3 | 1 | |||
| The teacher(s) was prepared | 5 | 3 | 1 | |||
| I could understand the information being presented | 5 | 3 | 1 | |||
| The handouts were interesting and helpful | 5 | 3 | 1 | |||
| The activities were interesting and helpful | 5 | 3 | 1 |
Complete these sentences:
* The most helpful activity was ____________________________________________________________________
____________________________________________________________________
* My least favorite activity was ____________________________________________________________________
Why was this your least favorite activity? _____________________________________________________________________
_____________________________________________________________________
Have your beliefs about male and female roles, relationships, etc., changed because of this course? ____ Yes ____ No
Please explain:
What improvements would you make to this course?
What would you like your school to do next about sexual harassment? Check as many as apply:
____ Offer support groups for victims.
____ Offer groups for harassers to make them more aware of how their behavior affects other people.
____ Require all students, teachers, staff, and parents to learn about sexual harassment.
____ Make sure victims know about community resources that can help them.
Would you recommend this course to someone else? ____ Yes ____No
Explain:
Give an example of something you plan to change in your own life as a result of this course.
Name one thing you would like to change about the way the information was presented.
Thank you for completing this evaluation!