EVALUATION OF PREVENTION EDUCATION SERVICES
If the Riverview Center, Inc. has provided Prevention Education to one or several
grades in your school, please answer the following questions and leave any comments
or suggestions in the area provided.

Thanks for your time!
 
School:

Grade:

Date:

     Please check the programs your students received:

Quit It Part 1 (K-1) 
Quit It Part 2 (2-3)
Body Safety (K-4)
Internet Safety (4-6)
Cyber Bullying (4-6)
Healthy Relationships (4-6)		 Bully Proof (6-8)
Flirting or Hurting (6-7)
Expect Respect (8-12)
Sexual Harassment (5)
Sexual Assault Awareness (7-8)
Healthy Dating Relationships (8)

Were you happy with the overall content of the program(s) your students received?                                                         Yes   No
If yes, what did you like best?

If no, why/what would you like to see change? Do you have any suggestions for improvements? (Please specify the program if necessary)


 
Did the Prevention Educator present the material in an age-appropriate and informative manner?                                              Yes   No
How would you assess the visual aids, handouts, and videos used in the presentation(s) on a scale of 1 to 5?
(1 = needs improvement; 3 = okay; 5 = Excellent)     1 2 3 4 5
How would you assess the amount of time for the presentation(s)?
(1 = needs more time; 5 = perfect amount of time)    1 2 3 4 5
Was the Prevention Educator prepared and on time?   Yes   No
Was the Prevention Educator open to any changes needed to make the programs more relevant to your school’s needs?         Yes   No

Comments:
 
Do you feel that the Prevention Educator was available for follow-up with students regarding disclosures/concerns following programs at your school?
                                                                         Yes   No

Comments:
 
How would you describe the overall performance of the Prevention Educator?


 
Would you have Riverview Center, Inc. present to your class/school in the future?                                                                Yes No

Comments:
 
Please share any additional comments/stories received from students, parents, teachers, or others: