Student Evaluation Form

Please fill out the following evaluation after you attend Essentials 4 Your Life’s program. Please circle the appropriate response for each question below. Your feedback is very important to the success of this program to prepare girls in making healthier lifestyle choices. Thank you for letting us teach you overall self-improvement by participating in the Essentials 4 Your Life program. We hope that this program has surpassed your expectations. We thank you for your valuable time and greatly appreciate your feedback.

  1. Before attending Essentials 4 Your Life’s program, my self-confidence was:
    Extremely PoorPoorAverageAbove AverageHigh
  2. After I completed the Essentials 4 Your Life program, my self-confidence is:
    DeclinedStayed the sameImprovedGreatly Improved
  3. My personal care regimen has:
    DeclinedStayed the sameImproved
  4. My overall health and nutrition has:
    DeclinedStayed the sameImproved
  5. My overall etiquette has:
    DeclinedStayed the sameImproved
  6. My relationships are:
    DecliningNo changeImprovingMuch healthier
  7. Have you seen any improvements in your success at school for example, better study habits, grades improving or improved attendance?
    No improvementVery littleImprovingMajor improvement
  8. Have you seen a decrease in any problem behaviors you may have had prior to taking Essentials 4 Your Life’s program?
    YesNoNo problem behaviors
  9. Have you seen an overall improvement in yourself?
    No improvementVery littleImprovingMajor improvement
  10. How likely are you to recommend Essentials 4 Your Life to family or a friend:
    Not LikelyLikelyVery Likely
  11. Additional Comments:

    12. Your Name:

    Parent's Name:

    Your email:

    What School did you attend Essentials 4 Your Life Program?

    What state is your school in?

    Who was your teacher?

    Spam protection (enter the text captcha below):

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