Instructional Design Consultation - Faculty Evaluation Form

Faculty Name
Department
Date of Visit
Instructional Designer	- Click & Choose - Steve Giesel Margaret Gunderson Matthew Livengood
Reason for Visit
Instructional Designer had sufficient knowledge	Yes No
Instructional Designer could effectively communicate	Yes No
The Instructional Designer was on time	Yes No
Did the Instructional Designer follow up with you after the visit	Yes No
On a scale of 1 to 5, with 5 being the highest rating, please indicate your overall satisfaction with the visit	1 2 3 4 5
Was your problem solved?	Yes No
If not, please explain
How can we better serve you?
Additional comments