Healthy Water, Healthy People
Healthy Water, Healthy People
Pre-Workshop Evaluation
This questionnaire helps us evaluate the effectiveness of this program. Please answer each question to the best of your ability. If you are unsure of the correct response, please write DK for “Don’t Know”. All responses are confidential. However, we need an identifier to compare the pre and post evaluations, so please write your birthday (no year needed) in the space provided. Thank you for your help.
Birthday: (month/day only) ______/______
- Date: ______
- Workshop Instructor (optional): ______
- Years of teaching/instruction experience: ______
- Level you teach (circle all that apply):
i) Elementary
ii) Middle School/Junior High
iii) High School
iv) Youth Group:
v) Adults:
vi) Other:
- How many students/participants per year could you reach with Healthy Water, Healthy People activities and materials? ______
- What is your primary goal for attending this Healthy Water, Healthy People training?
Pre-Workshop Evaluation
The following questions will be matched with post-workshop survey to evaluate the workshop.
Birthday: (month/day only) ______/______
- Label each of the following pollution sources as:
N = Nonpoint source
P = Point source, or
DK = Don’t Know
_____ Factory wastewater entering a river through a pipe
_____ Wastewater discharge from a secondary treatment facility
_____ Runoff from a gravel parking lot that flows into a swamp
_____ Surface runoff from farmland containing manure
_____ Fertilizers and pesticides from a golf course draining into a stream
2.For the following statements, indicate whether each is true (T), false (F), or (DK) if you don’t know:
a) ____ Generally in the U.S., most water pollution comes from nonpoint sources.
b) ____ Humans are responsible for all water pollution.
c) ____ Precision and accuracy mean the same thing.
d) ____ In the U.S., water quality standards are the same for drinking water and surface water (i.e., rivers, lakes).
e) ____ When camping or hiking, it is healthy to drink water directly from a clear spring or stream.
f) ____ Plants and animals are not affected by changes in water quality.
3.Which of the following aquatic macroinvertebrates is most sensitive to water pollution?
a) _____ midges
b) _____ stoneflies
c) _____ damselflies
d) _____ leeches
e) _____ dragonflies
4.Please indicate which one of the following is an example of a point source pollutant.
a) _____ water running off of city parks
b) _____ herbicides sprayed on lawns in a subdivision
c) _____ spillway from a sewage treatment plant
d) _____ sediment from new construction
Healthy Water, Healthy People
Post-workshop Evaluation
Please complete the following questions. Your input is important in helping us to improve this program in the future. All responses are confidential and will be used for program evaluation purposes only.
Today’s date
Birthday: (month/day only) ______/______
1.Please rate this Healthy Water, Healthy People (HWHP) training workshop using a scale from 1 to 6, with 1 = poor and 6 = excellent:
a) Presentation of water quality concepts1 2 3 4 5 6
b) Instruction in use of HWHP materials1 2 3 4 5 6
c) Connectivity between HWHP materials1 2 3 4 5 6
d) Instructor effectiveness1 2 3 4 5 6
e) Presentation of strategies to integrate HWHP1 2 3 4 5 6
f) Appropriateness to the grade level you teach1 2 3 4 5 6
g) Appropriateness to subjects you teach1 2 3 4 5 6
2.Do you plan to integrate Healthy Water, Healthy People into your teachings: Yes______No______
Comments:______
3.As a result of participating in this workshop, do you expect to make changes in your everyday activities that will enhance or improve water quality?
____No. If no, why not?
____Yes. If yes, what changes?
- Please describe the most valuable aspects of this workshop:
- Please complete the following: “As a result of this workshop, I learned…….
______
6. Other comments or suggestions:
Post-Workshop Evaluation
The following questions will be matched with post-workshop survey to evaluate the workshop.
Birthday: (month/day only) ______/______
- Label each of the following pollution sources as:
N = Nonpoint source
P = Point source, or
DK = Don’t Know
_____ Factory wastewater entering a river through a pipe
_____ Wastewater discharge from a secondary treatment facility
_____ Runoff from a gravel parking lot that flows into a swamp
_____ Surface runoff from farmland containing manure
_____ Fertilizers and pesticides from a golf course draining into a stream
2.For the following statements, indicate whether each is true (T), false (F), or (DK) if you don’t know:
a) ____Generally in the U.S., most water pollution comes from nonpoint sources.
b) ____ Humans are responsible for all water pollution.
c) ____ Precision and accuracy mean the same thing.
d) ____ In the U.S., water quality standards are the same for drinking water and surface water (i.e., rivers, lakes).
e) ____ When camping or hiking, it is healthy to drink water directly from a clear spring or stream.
f) ____ Plants and animals are not affected by changes in water quality.
3.Which of the following aquatic macroinvertebrates is most sensitive to water pollution?
f) _____ midges
g) _____ stoneflies
h) _____ damselflies
i) _____ leeches
j) _____ dragonflies
4.Please indicate which one of the following is an example of a point source pollutant.
e) _____ water running off of city parks
f) _____ herbicides sprayed on lawns in a subdivision
g) _____ spillway from a sewage treatment plant
h) _____ sediment from new construction