CIEP Activities Survey SAMPLE
Please do not write your name. Only evaluate activities you attended! Thank you!
5) It was great, and I learned a lot!
4) It was good, and I learned some.
2) It was not very good but could be better.
3) It was ok.
1) It was not good or useful for me.
Activities
1
2
3
4
5
Did not go
1. Culture Talk: Baseball
1
2
3
4
5
_____
2. CIEP Baseball Game
1
2
3
4
5
_____
3. Culture Talk: Language Learning Strategies
1
2
3
4
5
_____
4. Class Exchange with Kathy Oakland’s class
1
2
3
4
5
_____
5. BBQ and Sturgis Falls
1
2
3
4
5
_____
6. Fourth of July Trip to Cedar Rapids
1
2
3
4
5
_____
7. Trip to Des Moines
1
2
3
4
5
_____
8. Games with RSVP volunteers
1
2
3
4
5
_____
9. Scavenger Hunt and Movie Night
1
2
3
4
5
_____
10. Culture Hour: Nonverbal Communication
1
2
3
4
5
_____
11. Conversation Hour (Wednesdays at 2:15 PM)
1
2
3
4
5
_____
12. Did you attend the Retired Senior Volunteer Program (RSVP) this term?
a. If yes, please answer the questions below:
i. Was it helpful for learning English? Yes / No
ii. Was it helpful for learning about U.S. culture? Yes / No
13. Comment on any of the activities listed above:
14. Please offer suggestions for future activities:
Yes / No