Healthy Lifestyle Education - Community Garden Program

8/8/2019 Healthy Lifestyle Education - Community Garden Program

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COMMUNITY GARDENING PROGRAMHealthy Lifestyle Education

Initial EvaluationID Number: ___________ Date: ____________

Cooperative Extension is always looking for ways to serve you better. Please take a moment tocomplete this short survey. It will help us know how were doing, and how we can better serveyour needs in the future. Your Identification number is used to match your pre evaluation withpost evaluation for comparison.

For each of the following practices, please circle the number that best describesyour current behavior.

PracticesI am notconsidering this

I amconsidering this

I amdoing

thissometim

es

I amdoing this

most of the time

I amdoing

this allof thetime

1. Eat the recommendedservings from the five foodgroups daily.

1 2 3 4 5

2. Eat 2 1/2 cups or more of vegetables per day. 1 2 3 4 5

3. Eat at least 2 cups of fruit perday. 1 2 3 4 5

4. Eating dried beans or peas. 1 2 3 4 55 Eating at least 2 servings of

low-fat or non-fat dairyproducts each day.

1 2 3 4 5

6. Eat fruit for dessert andsnacks more often thancookies, cakes, pies, ice creamor other high fat, high sugarfoods.

1 2 3 4 5

7. Consume whole grain breadsand cereals. 1 2 3 4 5

8. Eating baked, broiled, orgrilled foods rather than eatingfried foods.

1 2 3 4 5

9. Do some type of moderatelyintense physical activity such

as walking for at least 30minutes five or more days aweek.

1 2 3 4 5

10. Reading nutrition labels tomake healthy food choices. 1 2 3 4 5

How did you learn about this training workshop?_________________________________________________

What do you expect to gain by participating in this program?


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DemographicsWhat is your gender?

____ Male ____ Female

How do you identify yourself? ___African American ___White ___American Indian/Alaskan ___Native Hawaiian/Pacific

Islander ___Asian ___Other ___Hispanic/Latino

Thank you for completing this evaluation.We appreciate your input as we make every effort to improve our Extension

programs.


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Mid-Term EvaluationID Number: ___________ Date: ____________

Cooperative Extension is always looking for ways to serve you better. Please take a moment to

complete this short survey. It will help us know how were doing, and how we can better serveyour needs in the future. Your Identification number is used to match your pre evaluation withpost evaluation for comparison.

SatisfactionPlease circle the appropriate number for your level of response.How satisfied are you with: Not

SatisfiedSomewhatSatisfied

Satisfied

VerySatisfied

The relevance of information to yourneeds?

1 2 3 4

Presentation quality of instructor(s)? 1 2 3 4Subject matter knowledge of instructor(s)?

1 2 3 4

Training facilities? 1 2 3 4 The overall quality of the trainingworkshop?

1 2 3 4

Was the information easy to understand? ___Yes ____No


PracticesI am notconsider

ing this

I amconsider

ing this

I amdoing

thissometim

es

I amdoing this

most of the time

I amdoing

this allof thetime


1 2 3 4 5



4. Eating dried beans or peas. 1 2 3 4 5

5 Eating at least 2 servings of low-fat or non-fat dairyproducts each day.

1 2 3 4 5


1 2 3 4 5



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1 2 3 4 5

9. Do some type of moderatelyintense physical activity suchas walking for at least 30minutes five or more days aweek.

1 2 3 4 5


How can the remainder of this program best meet your learning needs?


programs.


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End-of-Program Evaluation

ID Number: ___________ Date: ____________

Cooperative Extension is always looking for ways to serve you better. Please take a moment tocomplete this short survey. It will help us know how were doing, and how we can better serveyour needs in the future. Your Identification number is used to match your pre evaluation withpost evaluation for comparison.

SatisfactionPlease circle the appropriate number for your level of response.How satisfied are you with: Not

SatisfiedSomewhatSatisfied

Satisfied

VerySatisfied

The relevance of information to yourneeds?

1 2 3 4

Presentation quality of instructor(s)? 1 2 3 4Subject matter knowledge of instructor(s)?

1 2 3 4

Training facilities? 1 2 3 4 The overall quality of the trainingworkshop?

1 2 3 4

Was the information easy to understand? ___Yes ____No


PracticesI am notconsidering this

I amconsidering this

I amdoing

thissometim

es

I amdoing this

most of the time

I amdoing

this allof thetime


1 2 3 4 5



4. Eating dried beans or peas. 1 2 3 4 55 Eating at least 2 servings of

low-fat or non-fat dairyproducts each day.

1 2 3 4 5


1 2 3 4 5


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1 2 3 4 5

9. Do some type of moderatelyintense physical activity suchas walking for at least 30minutes five or more days aweek.

1 2 3 4 5


What is the most important change you made as a result of participating in this Extensionprogram?

Did that change help you save or earn money? ____Yes ____No ____Dont Know

What did you like the most about this program?

What did you like the least about this program?

Have you shared what you learned with others? ____Yes ____No

If yes, how many people did you share this information with?_____

Did the training program meet your expectation? ___Yes ____No

Would you recommend this training program to others? ___Yes ____NoIf not,why:__________________________________________________________________________________________

______

How could this program be further improved?


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Share your name/address/phone number, if you are willing to allow us to contact you forfollow-up comments (Optional).

Name: ________________________________ Phone Number: ______________________________

Address: ___________________________________________________________________________


programs.


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Progress Evaluation

ID Number: ___________ Date: ____________ Cooperative Extension is always looking for ways to serve you better. Please take a moment to

complete this short survey. It will help us know how were doing, and how we can better serveyour needs in the future. Your Identification number is used to match your pre evaluation withpost evaluation for comparison.

Indicators: At theBeginning of the Program

In the Middleof the

Program

At the End of the Program

Body weightBlood pressureBlood glucose

Total cholesterol

Number of vegetable servingsper dayNumber of fruit servings perdayNumber of hours physicallyactive per weekMonthly food expenditureAverage number of mealstaken from fast foodrestaurants per week

Documents

Healthy Lifestyle Education - Community Garden Program