Adult Literacy Volunteer Tutor Program Evaluation Kit

LEARNER QUESTIONNAIRE - TALLY SHEET

Directions: For most questions, stroke marks can be made in the space provided and the total number of responses added up and placed after "N =" or in the 'N' column where that is provided.

  1. Awareness - Question #1
    Heard about program from: ________________________________________________ _______________________________________________________________________ _______________________________________________________________________
  2. Access - Question #2
    Easy?
    Yes _____________________________________________ N = ________
    No ______________________________________________ N = ________
  3. Contact with Administration - Question #3
    Comfortable?
    Yes _______________________________________ N = ________
    No ________________________________________ N = ________

    Comments: ____________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________
  4. Access - Question #4
    Problems?
    Yes _______________________________________ N = ________
    No ________________________________________ N = ________
    Specifics: ______________________________________________________________ _______________________________________________________________________