An educational material feedback form to gather usability data and feedback about your materials.
[Insert name of organization/activity and logo]
[Insert Name of Material] Feedback Form
Your feedback is important and will help us improve our food safety education materials. Please take a few minutes to fill out this evaluation form.
- Please share how useful the information provided in the [Insert Name of Material] is to you.
Extremely Useful Very Useful Somewhat Useful Not Very Useful Not At All Useful
- Do you intend to use the information you learned in the [Insert Name of Material] when handling foods?
Yes No Maybe
- What food safety topics do you want to learn more about and would you like to see included in our food safety materials?
- How can the [Insert Name of Material] be improved?
- If you plan to or have already shared and distributed the [Insert Name of Material] please write how many have or will be distributed. Also, describe how and to whom.
- Would you like to receive email updates with of our latest food safety activities and information?
If yes, please provide your email address: _________________________________
- Any additional comments?
Educational Material Feedback Form Doc X
Educational Material Feedback Form PDF