Brown County 4-H Afterschool Evaluation Grades K - 2 Evaluation form created by: Kathy Kauth, Brown County Urban 4-H Coordinator and Chuck Cropp, Outreach Educator Please have your youth raise their hands and count the responses. Either have youth put heads down on table for this OR sit in a circle, facing outward. Before you start, please be sure to explain to kids that we are asking questions to learn about what they think AND to make our 4-H classes better. School: ____________________ Date: ___________ 1. Adults in 4-H really care about me. Yes: ___________ No: _______ 2. I learned new things at 4-H. Yes: _________ No: _______ 3. I learned ways to help other people. Yes: ___________ 4. No: _______ I look forward to 4-H days. Instructor: _____________________ Project:_______________________ 6. I learned to make good choices at 4-H. Yes: ___________ 7. I had fun learning at 4-H. Yes: ___________ Yes: ___________ No: _______ 9. How many been in 4-H before? No: _______ No: _______ 5. I learned to treat people with respect at 4-H. Yes: ___________ No: _______ 8. I learned to share my ideas at 4-H. Yes: ___________ Yes: ___________ No: _______ No: _______ 10. How many of your youth know what the 4 H’s stand for? # _______ The Brown County “4-H Afterschool” program wants to know how it’s doing. We would like you to answer the following questions to help us find out. Your answers will not be shared. Answering these questions means you agree to help us. Contact the Brown County UWEX Office at 391-4663 if you have questions. Thank you! 2/27/2003 University of Wisconsin, U.S. Department of Agriculture and Wisconsin counties cooperating. UW-Extension provides equal opportunities in employment and programming including Title IX and ADA