Republic of the Philippines

Department of Education
Region X – Northern Mindanao
Division of Lanao del Norte
District of Tubod East
Malingao Central Elementary School
Malingao, Tubod, Lanao del Norte

School Activity Feedback/Evaluation Form

NAME OF ACTIVITY: CANCER AWARENESS WEEK

DATE: ______________________

You can write anything in here about the school activity.

 Overall, how important/significant was the activity? 
1 2 3 4 5 6 7 8 9 10

Boring Fantastic

1 is Boring, 10 is Fantastic

 After the activity, how inspired did you feel to practice healthy lifestyle? 

1 2 3 4 5 6 7 8 9 10

None Fired up!

1 is None, 10 is Fired up!

 Do you feel the day provided value for health and proper hygiene? 

1 2 3 4 5 6 7 8 9 10

Not at all Definitely

1 is Not at all, 10 is Definitely

 Would you recommend a similar event to a friend? 

Yes, definitely Maybe, if the content was changed No, never

 The Venue

 Overall, were you satisfied with the venue and were you able to see and hear the presentations clearly? 

Yes No
 Optional: Contact Details

 Your Name

First Name  Last Name

 Phone Number::