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  The Da Vinci Institute for Technology Management
  Module Evaluation Form
  please note * indicates required field
 
  Your ID number*      
  Student Name*  
  Programme Name*  
  Module*
 
   
  Module Begin Date* Calendar
Calendar
 Module End Date* Calendar
Calendar
  
  Facilitator*
 
 

 

  
  Your email address*  
  *so that we can notify you of received evaluation  
  Module evaluation  
  Rate the following statements on a scale of 1 to 5 where
1 = Poor; 2= Below Average 3= Average 4=Above average 5 =Excellent 		1 2 3 4 5
  Content  
1 The extent to which the learning outcomes for the module were achieved
1 2 3 4 5
2 The overall quality of the content
1 2 3 4 5
3 The overall quality of the instructional resources (printed material, CD, etc)
1 2 3 4 5
4 The alignment of the content and the learning outcomes
1 2 3 4 5
     
     
  Instructional Strategy  
5 The appropriateness of the method of instruction
1 2 3 4 5
6 The conduciveness of the learning environment
1 2 3 4 5
7 The alignment between the course and the evaluation process (eg. PMA)
1 2 3 4 5
     
  Facilitator  
8 Level of the Facilitator's/presenter's expertise in the field of the module
1 2 3 4 5
9 His/her ability to stimulate critical thinking
1 2 3 4 5
10 His/her ability to facilitate an interest and understanding of the subject matter
1 2 3 4 5
11 His/her ability to support the group in achieving the learning outcomes
1 2 3 4 5
12 His/her ability to encourage participation and motivate the group
1 2 3 4 5
   
  Learning Group  
13 The group's contribution to your learning
1 2 3 4 5
   
  Impact  
  Individual  
  Rate the level of impact that the module has had on the following statements where
1= no impact at all; 2=little impact; 3=some impact; 4= a positive impact; 5 = strong positive impact 		1 2 3 4 5
14 The impact on my own personal development
1 2 3 4 5
15 The impact on my skills, knowledge and thinking
1 2 3 4 5
16 The impact on my understanding of my work environment
1 2 3 4 5
17 The impact on my view of my role in the organisation
1 2 3 4 5
  Organisational  
18 The impact on my performance at the workplace
1 2 3 4 5
19 The impact on my ability to affect systems and/or procedural improvements on returning to the workplace
1 2 3 4 5
20 The impact on my ability to tackle my work-based challenge
1 2 3 4 5
     
Evaluation > Recommendations