Session evaluation form
Kirkpatrick level 1 (reaction). Anonymous. Optional after each session. Aggregate results only.
Reference: Kirkpatrick, J. D., & Kirkpatrick, W. K. (2016). Kirkpatrick’s Four Levels of Training Evaluation. ATD Press.
See also: pre/post assessment (level 2 learning) and 30-day transfer follow-up (level 3 behaviour, self-reported). Level 4 (organizational results) is outside this kit’s scope.
About this session
| Field | Response |
|---|---|
| Session number (1, 2, 3, or clinic) | |
| Delivery mode (online / in-person) |
Usefulness (1 = not useful, 5 = very useful)
- Overall session value for my work
- Clarity of explanations
- Usefulness of the worksheet and cases
- Facilitation and pacing
- Accessibility of materials (format, language, captions, participation options)
Open comments
- What was most useful?
- What was unclear?
- What was hard to access? (technology, language, pace, breakout format, other)
Optional demographics
Do not collect if your ethics review discourages it. If collected, use broad categories only and never cross-tabulate small groups.
- Role category: program / operations / technical / leadership / other
- Prior AI use: none / occasional / regular with approved tools
For facilitators
- Share aggregate means with hosting organization
- Do not quote identifiable comments in public reports
- Flag accessibility issues for the next session adaptation note