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TA Number *
Client Name *
Client Organization *
Address *
Consultant who provided service *
Evaluation completed by *

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1. How useful was the TA or training to your organization? *
  Very Somewhat Not Very Not at All Don’t Know N/A

2. How relevant was the TA or training to your organization’s goals? *
  Very Somewhat Not Very Not at All Don’t Know N/A

3. Were you given practical examples during the TA or training? *
  Yes Many Yes Some No Not Many Not at All Don’t Know N/A

4. Were you given suggestions for applying the information in your own organization? *
  Yes Many Yes Some No Not Many Not at All Don’t Know N/A

5. Would you recommend TA or training to colleagues? *
  Definitely Probably Probably Not Definitely Not Don’t Know N/A

6. In retrospect, was the time you spent in training worthwhile? *
  Definitely Probably Probably Not Definitely Not Don’t Know N/A

7. What elements of the TA or training were most useful? Please be specific. *

8. What elements of the TA or training were least useful? Please be specific.*

9. What elements of the TA or training have you put into practice? Please be specific.*

10. How often have you participated in the following activities since the TA or training?

10a. Shared some of the acquired information with others. *   Very Often Often Not very Often Never Don’t Know N/A 10b. Used TA or training materials.*   Very Often Often Not very Often Never Don’t Know N/A 10c. Applied ideas from the TA or training to the operations of your organization. *   Very Often Often Not very Often Never Don’t Know N/A

11. Have you formally trained others in what you learned? *

Yes No

If yes... 11a. How many people have you trained? 11b. Whom did you train?  Subordinates    Supervisions    Other Colleagues    Persons outside the organization

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Thank you for your responses. Please write any additional comments or suggestions.

Thank you for your feedback! If you have any questions or future technical assistance needs, please contact us:

Contractor: LGBT TRISTAR
Address: PO BOX 411, San Francisco, CA 94104
Contact Person: Gil Gerald
Telephone Number: 415-627-9143
FAX Number: 415-627-9153
Email: gilgerald@lgbt-tristar.com