Evaluation Form

This evaluation form is required to be submitted after each activity. 

* Fields marked with an asterisk are required.

Date of activity *

Day Month Year

Name of activity *

Town *

- Shepparton Kialla Mooroopna Tatura Murchison Dookie Bunbartha Congupna Katandra Merrigum Tallygaroopna Toolamba Undera Online Other

Location of activity *

Age demographic of attendees *

Tick all that apply Toddler / Preschool Primary School Secondary School 18 - 24 Years 25 - 34 Years 35+ Years 50+ Years

Number of attendees at the event *

Number of people engaged with AITP *

(People participated in activity)

Type of activity *

Tick all that apply Sports & Physical Wellbeing Mental Health & Wellbeing Family Fun

On a scale from 1 to 10 (1 being poor, 10 being fantastic), how would you rate general participant engagement with the activity? *

1 (Poor) 2 3 4 5 6 7 8 9 10 (Fantastic)

Please describe the general community reaction to this activity *

If you could run this activity again, what would you change or keep the same? *

Subject

Submit