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Hunger Awareness Evaluation Project - Summary Form

Note:  You must enter the items shown with ** in front of them.

Once you "send" the data by clicking on the submit button, an email message containing your information will be sent to the Madison office and a copy of the information you enter will be displayed for you to print for your records.

**Submitted by:

**Phone:

**Email Address:


**County Name - Choose the county where this program occurred from the drop down list:

Date of event:

**Number of participants:

**Number of evaluation forms received:

Description of program (e.g. format, length, etc.) and/or teaching resources used:

**Did you use the entire evaluation tool as written? Yes No

    If you did not use the entire evaluation tool, please note which questions were omitted:

Enter the number of learners giving each response:
No Little Moderate Quite a bit Almost complete Total No. of Responses
1. My understanding of the extent of the problem of food insecurity and hunger Before
Now
2. My understanding of which groups of people are most at risk of food insecurity Before
Now
3. My understanding of the reasons why some people are food insecure Before
Now
Increase in understanding
Decrease in understanding
Stayed the same in understanding
Of all participants providing both BEFORE and NOW responses for Question #1 (My understanding of the extent of the program of food insecurity and hunger), how many reported:

Enter comments from participants on "4. What was the most important thing that you learned as a result of participating in today's program:"
(Please enter two returns between comments to make the data more readable when submitted.)

Press this button to submit your evaluation data.

Press this button to clear the form if you do not want the information sent.


UW-Extension
November 22, 2008
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