Penn State Cooperative Extension -

Feedback Sheet

Please tell us how you used the Functional Foods lessons and what you and your clients thought of them.
When you are done, please print this page and send to Lynne Brown at the address listed at the bottom of the page (this has been changed to prevent spammed responses)

1. With whom have you used these lessons? Please check all that apply.
	Limited resource audience
	General audience
	Males
	Females
	Ages under 25
	Ages 25 to 55
	Ages over 55

2. Which lesson(s) did you use? Please check all that apply.
	Decision Decide
	Berries
	Soy
	Garlic
	Deep leafy green vegetables
	Deep yellow vegetables
	Cruciferous vegetables
	Tomatoes
	Whole grains

3. How would you rate the lesson(s) (lesson plans, PowerPoint presentations, handouts, activities, etc.)? Please check one number below.
	1 (poor)
	2 (marginal)
	3 (satisfactory)
	4 (good)
	5 (excellent)

4. Please share your comments on the lesson(s) used.

5. How appropriate for participants was the evaluation? Please check one number below.
	1 (too easy)
	2 (easy)
	3 (just right)
	4 (difficult)
	5 (too difficult)

6. How did participants react to the lesson(s) you presented? Please check one number below.
	1 (very negative)
	2 (negative)
	3 (neutral)
	4 (positive)
	5 (very positive)

Other comments: 7. Please tell us a little about yourself Your subject matter specialty Groups you currently provide instruction for Number of years you have taught or been involved in nutrition education Gender (please check appropriate box)
Female
Male

Thanks for your feedback!

Please sent this form to:
Lynne Brown
219 Food Science Building
University Park, PA 16802

Ph: 814-863-3973
Email: f9a@psu.edu

Penn State | College of Agricultural Sciences | Cooperative Extension & Outreach

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Last modified Monday, August 13, 2007 10:02