PRE-SCHOOL AGE CD-ROM EVALUATION FORM

COALITION FOR QUALITY CHILDREN'S MEDIA
112 W. San Francisco St., 305A, Santa Fe, NM 87501
ph: 505/989-8076; fax: 505/986-8477; contact us
EVALUATION - INTERACTIVE MEDIA - AGES 2 - 5

Your Email Address(you will receive a copy of this form):
TITLE (exactly as appears on application):
Adult Juror's name:		Facilitator's name (if different):
Date of Screening (MM/DD/YY):		Children's age range:
# of boys:	# of girls:	Cultural Make-up :

Rate each question: Click below the face that matches each question best:	Not Applicable	Yes	A Little	Not at all
1. How much did you like this program?

2. Would you like playing with it again?

3. Did the program show characters treating each other well?

4. Do you think your friends would like this program?

5. Did the program get you to play along, sing along or think about things?

6. Did playing with the program make you want to find out more about what you saw?

TOTAL NUMBER FOR EACH CATEGORY:

This program was :

Great!
I'd play it again
OK, I liked some parts
Boring, after I figured it out

Too fast/too slow
Too hard/too easy
Has stereotypes
No one liked it

FINAL RATING:
NO	QUALIFIED YES	YES	ALL-STAR
Tell us why you gave the final rating above: Tell us about the children's comments or reactions:

When you are finished, please click the submit button below :

Back to the other forms

Web Development and Interactive Forms by NET MAN