Program Participant Evaluation Tool

THE PROGRAM HELPED ME KNOW THE     IMPORTANCE OF	Not at all	Somewhat	Greatly
Being sure of the names of medications and what they are supposed to do.
How, when, and for how long to take medications
Restrictions related to taking certain medications; for example, what foods, drinks, and activities should be avoided.
Finding out if new medicines are safe to take with other medications that I am taking.
Learning about unwanted effects of medications that could occur.
Learning what to do if I experience unwanted effects from medications.
Obtaining written information about my medications.
PROGRAM PRESENTATION	Agree	Somewhat agree	Disagree
The speakers were easy to understand.
The visual aids helped me understand the information.
The handouts helped me learn.
List at least one new thing you learned from this program.
What changes will you make in your health-related activities based on the information you learned in the program?
Additional comments: (Use the back of the paper if needed.)
This educational program is being conducted by University of Delaware nursing students. Completing this form indicates your willingness for the information to be seen by other faculty and students for educational and research purposes.

Thank you for attending this program!

Remember that you are the most important member of your health care team!