Program Evaluation Form

posted on 04/10/2009

We have closed the form. Thank you.

Thank you for visiting JAPAN TRIP2009 Program Evaluation Form. We need your feedback to reflect each activity. We ask that you be courteous and constructive in your responses.

Your response can be anonymous. For rating, 1 being "poor" and 5 being "superior". For detail columns, please comment on what the particular strengths of the activity were and how the quality of this activity could be improved, in the spirit of helpful criticism.

Fill in and select the form below for every activities you joined and submit ONCE.

Name	(optional)
Contact E-mail	(optional)
Monday, March 23 (Tokyo)
1a. Nursing Home	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
1b. International Medical Center of Japan	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
2. Japanese Tea Ceremony	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
3. Ministry of Health, Labour and Welfare	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
4. Welcome Party	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
Tuesday, March 24 (Tokyo)
5. Tsukiji Fish Market	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
6. Tokyo Bus Tour	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
7a. Japanese Cooking School	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
7b. School Lunch at Nursery School	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
8a. National Hansen's Disease Museum	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
8b. Eastern Medical Clinic	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
9. Noh Workshop	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
10. Hot Spring Theme Park	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
Wednesday, March 25 (Okinawa)
11. Welcome Lecture by public health professionals in Okinawa	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
12. Nakijin Castle	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
13. Moai visit	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
Thursday, March 26 (Okinawa)
14a. Agriculture & elderly visit	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
14b. Stock raising & elderly visit	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
14c. Shellfish gathering & elderly visit	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
14d. Group Home & elderly visit	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
14e. Day care & elderly visit	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
15. Cooking Okinawan traditional dishes	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
16. Discussions	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
17. Party	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
Friday, March 27 (Osaka)
18a. AIRIN visit (TB-DOTS Program)	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
18b. Infant check-ups(Health Center)	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
19. MCH handbook lecture & the pediatric ward visit (Osaka City General Hospital)	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
20a. Osaka Castle	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
20b. Sumo Wrestling	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
21. Osakan B-Grade Gourmet Dinner	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
Saturday, March 28 (Kyoto)
22a. Maiko Make-Over	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
22b. Cruising Boat	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
22c. Zen Meditation	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
23. Kiyomizu Temple	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
24. Farewell Party	Please provide a rating for the activity. 1 2 3 4 5 N/A
	Please specify details. (N/A)
Overall
Overall rating (required)	Please provide an overall rating for the entire trip. 1 2 3 4 5
After the trip, what do you think are the determinants of longevity in Japan? (required)
How can we improve our trip? (Suggestions/Comments) (required)

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