COLLEGE OF NURSING, MADRAS MEDICAL COLLEGE, CHENNAI-03
EVALUATION FORMAT FOR PANEL DISCUSSION
Title: Date:
Strongly Strongly
Student name : Agree Agree Neutral Disagree Disagree
Course :
1.This panel enhanced the professional knowledge and skills.
2. This panel met its stated learning objectives.
3. The information presented was relevant, timely and up-to-date.
4. There was adequate opportunity for questions and interactions.
5. Overall, this panel was a strong education experience.
Moderator
Strongly Strongly
Name: ______________________________ Agree Agree Neutral Disagree Disagree
6a. This moderator… Was knowledgeable of subject.
Presented the content well.
Panelist #1
Name: ______________________________
6b. This instructor… Was knowledgeable of subject.
Presented the content well.
Panelist #2
Name: ______________________________
6c. This instructor… Was knowledgeable of subject.
Presented the content well.
Panelist #3
Name: ______________________________
6d. This instructor… Was knowledgeable of subject.
Presented the content well.
Panelist #4
Name: ______________________________
6e. This instructor… Was knowledgeable of subject.
Presented the content well.
Total Marks Obtained:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Signature
8. of the
What topics Evaluator:
should be considered for future programs?
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Comments:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________