ILRU WEB Cast Feedback Form

ILRU Web Cast Evaluation Form

Please help us make our Web cast the best it can be! Fill out this evaluation form and use the SUBMIT button at the bottom when completed. Your confidential feedback is a gift, which is greatly appreciated.

1. How would you describe yourself (individual with a disability, researcher, policymaker, advocate, etc.)?

And, in what arena (health care, ADA, independent living, etc.)?

2. Which Web cast are you evaluating (date, presenter, etc.)?

3. Did you experience any problems with your connection to the Web cast? Yes No

If you had difficulty, please explain.

4. Was this a live Web cast? Yes or One from our archives?

5. What kind of connection did you use for the Web cast? 28K modem 56K modem DSL T1 Other

6. Was the Web site (e.g. speaker information, handouts, etc.) accessible? Yes No

If not, please explain.

7. Did you find the Web cast (e.g. audio, captioning) accessible? Yes No

If not, please explain.

8. Did you find the content relevant and useful? Yes No

Additional comments:

9. Please rate the overall quality of the presenter(s). Excellent Fair Poor

10. Did you use the handouts? Yes No

If yes, how would you rate them? Excellent Fair Poor

11. Did you find the length of the Web cast adequate? Yes No

If not, please indicate preferred length (one hour, half an hour, etc.)

12.Additional comments:

13. Please include your email address:

ILRU is a program of The Institute for Rehabilitation and Research (TIRR). ILRU is supported in part by the U.S. Department of Education--National Institute for Disability and Rehabilitation Research (NIDRR) and the Rehabilitation Services Administration (RSA). The opinions expressed on these web sites do not necessarily represent the opinion of the Department of Education, and no endorsement should be inferred.