Program Evaluation
Family Financial Education
Thank you for participating in this program, and thank you for taking the time to fill out this survey! Your
answers are anonymous and will only be used to help us offer the best programming we can.
Date: ________________
Location:____________________________________________
Instructor: _____________________ Name of program:_______________________________________
Your thoughts on the program
Please circle the response you most agree with.
1. My knowledge, skills, or understanding of the topics discussed today…
Before the program:
None
A little
Some
A lot
A great deal
After the program:
None
A little
Some
A lot
A great deal
2. The information presented will influence the decisions I make regarding my finances
Strongly Agree
Agree
Unsure
Disagree
Strongly Disagree
Unsure
Disagree
Strongly Disagree
4. The instructor seemed knowledgeable about financial issues
Agree
Unsure
Disagree
Strongly Agree
Strongly Disagree
5. Overall, the program was worthwhile
Agree
Strongly Agree
Strongly Disagree
3. I would recommend this program to others
Strongly Agree
Agree
Unsure
Disagree
Next Steps
6. As a result of what you learned in this program, what actions do you plan to take? (Check all that apply)
 None
 I will share this information with family
members or others
 I have learned new strategies to reduce my
debt.
 I have a plan in place to reduce my debt.
 I understand that saving on a regular basis
helps to reduce financial stress.
 I understand the benefits of saving money
on a regular basis.
 I feel more able to manage my personal
finances.
 I plan to start saving or increase the amount
of money I save on a regular basis.
 I have or plan to revise my financial goals.
 I have learned how to check my credit
report.
 I plan to get a copy of my credit report.
 I understand my rights under the Fair Credit
Reporting Act.
 Other:________________________
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Questions about you
University of Missouri Extension wants to make sure that we are presenting our programs to a wide range of
participants. This information will not be used to identify any program participants. It will only be used to identify our
audiences in general.
7. Age:
 Under 18

18-34

35-64


Female

Prefer not to answer
65+
8. Gender:

Male
9. What is your family size (include all those in your household)? _______
10. About what is your total household income each year?






Less than $10,000
$10,000 to $14,999
$15,000 to $24,999
$25,000 to $34,999
$35,000 to $49,999


$75,000 to $99,999
$100,000 or more
$50,000 to $74,999
11. Are you Hispanic/Latino?


Yes
No
12. What race do you identify with? (please select one)




American Indian or Alaskan Native
Asian
Black or African American
Native Hawaiian or Pacific Islander




13. Do you consider yourself a person with a disability?
 Yes
14. Veteran Status



No
Non-Veteran
Veteran-  Vietnam Other
Additional Comments
Anything else you’d like to add about this program?
Two or more races / Other
White
Some other race
I prefer not to disclose