www.environmetrics.com.au

Program Evaluation

Short self-completion questionnaire

1. Use / participation

Is this the first time you have been to <program>.

Useful to compare first time vs. repeats/regulars.

How often have you used/attended <program> in the past <time>?

2

2. Rating – 5-point scale

Please rate the standard of the following aspects of the <program>.

(5 = excellent and 1 = very poor)

5 4 3 2 1 Don't know Overall experience Content (quality, interest, relevance?) Staff service Value for money

3

2. Net Promoter Score

4

How likely are you to recommend <program> to friends and colleagues. (10=would recommend; 0=would NOT recommend.)

9-10 = Promoters

0-6 = Detractors

7-8 = Passives

Score = Promoters minus Detractors

3. KPIs / outcomes

5

Now, exploring your perceptions of <program> , please say TO WHAT EXTENT it does the following things.

High extent; Moderate extent; Little extent; Not at all; Don't know

Gives access to information and ideas relevant to contemporary society

Runs programs that encourage creative activities for adults and children

Has made a positive difference to my life Makes everyone feel welcome Has a wide diversity of different programs and activities

4. Open comment

Any comments? Any suggestions?

6

Demographics

7

Age Gender Local/out of area Member

Prepared by Gillian Savage, Environmetrics.

Phone: 0412 928 302

Email: gillian@environmetrics.com.au

19 September 2012

8