Upward Bound Program Evaluation Form

Please take a few moments to complete the following evaluation regarding your level of satisfaction with our services. Your feedback and cooperation will help us improve our program to efficiently meet your needs in completing your education. All responses are completely anonymous.

1. You are a :


2. Which school/agency are you affiliated with?

3. How long have you been affiliated with our Upward Bound program?

4. How familiar are you with our program goals and objectives?

5. (For students, parents, and administrators)
Use the following scale to rate your program according to your personal experience(s):

Always Almost Always Sometimes Never Does Not Apply
Staff greeted me in a friendly manner
Staff provided timely assistance when needed
Staff showed an interest and willingness to provide assistance
Staff was helpful/knowledgeable in referring me to outside/other agencies when needed

6. (For students)
Please rate classroom instruction based on the following:

Excellent Average Poor Does Not Apply
Instructors knowledge of the subject was
Instructors preparedness for the class was
Presentation of clear course objectives was
Presentation of course material was
Instructors simulation of my interest was
Instructors enthusiasm for the subject was
The degree to which my expectations were met was
The degree to which announced course content agreed with what was taught was
The extent to which I learned/developed as a result of program activities was

7. (For students and parents)
Please rate your satisfaction with the following services you may have received from the Upward Bound staff.

Very Satisfied Satisfied Dissatisfied Very Dissatisfied No Opinion
Financial Assistance
Admissions Assistance
Testing Assistance
Academic Advising
Career Advising
Personal Advising
Tutoring
Program Orientations

8. (For students, parents, and administrators)

Very Satisfied Satisfied Dissatisfied Very Dissatisfied No Opinion
Please rate the educational value of our events.
How would you rate the organization of Upward Bound events?
How would you rate the program's ability to keep you informed of upcoming events and activities?
What is your overall satisfaction with the Upward Bound program?

9. (For students, parents, and administrators)
Would you recommend the Upward Bound program to other students?

Thank you for your cooperation!


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