***Promoting Our Effectiveness in WIC!***

## Workshop Assessment

**This workshop assessment will help us assure that the workshop meets
our objectives. It is [not]{.underline} an evaluation or test of you!**

**To help us maintain confidentiality and give you a unique identifier,
please use the spaces below to record the first two letters of the month
you were born, followed by the last two digits of the year you were
born, and followed by the last four digits of your social security
number**

**For example, if you were born in February of 1975 and your social
security number was 999-99-1678, then you would record: [F]{.underline}
[E]{.underline} [7]{.underline} [5]{.underline} [1]{.underline}
[6]{.underline} [7]{.underline} [8]{.underline}.**

**Your unique identifier is:**

**\_\_\_ \_\_\_ \_\_\_ \_\_\_ \_\_\_ \_\_\_ \_\_\_ \_\_\_**

***Promoting Our Effectiveness in WIC!***

**Workshop Assessment**

*Please read each question carefully. Directions vary according to the
question. Please remember to answer questions on both sides of the
paper.*

Please answer each of the following questions to help us assure that
this workshop is designed to meet its objectives.

# **Section 1**. Rate how effective the workshop was in helping you to do each of the following actions. To record your answer, blacken the square that best describes the workshop's effectiveness. 

# **In relation to your job, how effective was the workshop in helping you to:** 

+-------------------------+--------+--------+--------+--------+--------+
| ### Action              | ###    |        |        |        |        |
|                         |  Effec |        |        |        |        |
|                         | tivene |        |        |        |        |
|                         | ss of  |        |        |        |        |
|                         | the Wo |        |        |        |        |
|                         | rkshop |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
|                         | Not    | Sl     | Mode   | Very   | Ext    |
|                         |        | ightly | rately |        | remely |
+-------------------------+--------+--------+--------+--------+--------+
| 1\. prepare to          |       |       |       |       |       |
| significantly increase  |        |        |        |        |        |
| your performance        |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 2\. understand the      |       |       |       |       |       |
| basic principles        |        |        |        |        |        |
| underlying personal     |        |        |        |        |        |
| effectiveness           |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 3\. understand the      |       |       |       |       |       |
| basic principles        |        |        |        |        |        |
| underlying              |        |        |        |        |        |
| interpersonal           |        |        |        |        |        |
| effectiveness           |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 4\. develop your        |       |       |       |       |       |
| personal mission        |        |        |        |        |        |
| statement               |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 5\. understand how to   |       |       |       |       |       |
| communicate with others |        |        |        |        |        |
| effectively             |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 6\. prepare to work     |       |       |       |       |       |
| with others to          |        |        |        |        |        |
| influence outcomes      |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+

7\. As a result of this workshop, please identify at least three (3)
actions that you plan to take at work within the next 6 months. *(Please
print your answer in the space provided.)*

> 1\.
>
> 2\.
>
> 3\.

**[Section 2.]{.underline}** Please rate the workshop by answering the
following questions. To record your answer, blacken the square that best
describes your evaluation.

# **How would you evaluate:** 

+-------------------------+--------+--------+--------+--------+--------+
| ### Action              | ##     |        |        |        |        |
|                         | # Eval |        |        |        |        |
|                         | uation |        |        |        |        |
|                         |  of Wo |        |        |        |        |
|                         | rkshop |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
|                         | Poor   | Fair   | Good   | Very   | Exc    |
|                         |        |        |        | Good   | ellent |
+-------------------------+--------+--------+--------+--------+--------+
| 8\. the workshop        |       |       |       |       |       |
| overall.                |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 9\. how strong your     |       |       |       |       |       |
| desire is to apply the  |        |        |        |        |        |
| workshop materials.     |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 10\. the success of the |       |       |       |       |       |
| course in increasing    |        |        |        |        |        |
| your knowledge.         |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 11\. the success of the |       |       |       |       |       |
| course in increasing    |        |        |        |        |        |
| your skills.            |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+

[**Section 3**.]{.underline} Please rate the workshop presenter by
answering the following questions. To record your answer, blacken the
square that best describes your evaluation.

# **How would you evaluate the workshop presenter's:** 

+-------------------------+--------+--------+--------+--------+--------+
| ### Action              | ###    |        |        |        |        |
|                         |  Evalu |        |        |        |        |
|                         | ation  |        |        |        |        |
|                         | of Pre |        |        |        |        |
|                         | senter |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
|                         | Poor   | Fair   | Good   | Very   | Exc    |
|                         |        |        |        | Good   | ellent |
+-------------------------+--------+--------+--------+--------+--------+
| 12\. overall            |       |       |       |       |       |
| effectiveness.          |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 13\. knowledge of the   |       |       |       |       |       |
| topic.                  |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 14\. presentation       |       |       |       |       |       |
| skills.                 |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 15\. ability to involve |       |       |       |       |       |
| the audience.           |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+
| 16\. use of relevant    |       |       |       |       |       |
| examples and stories.   |        |        |        |        |        |
+-------------------------+--------+--------+--------+--------+--------+

Thank you for your time completing this evaluation of the workshop.
Please seal it in the envelope provided and give the envelope to your
workshop presenter.