Northern Illinois SCORE serves Rockford and the Stateline Area with Expert Small Business Mentoring and Informative, Educational Small Business Workshops!

Counselor Evaluation Form - Northern Illinois SCORE

Note		Required fields are noted in red.
* Date of Counseling Session: As mm/dd/yyyy
* Counselor's Full Name:
Client's Name Optional):
* Counselor's Email Address:
* Counselor Listened Attentively As I Explained My Needs:	Q1	5     4     3     2     1
* My Questions Were Answered Fully:	Q2	5     4     3     2     1
* The Information I Received Was Useful and Met My Needs:	Q3	5     4     3     2     1
* I Learned How Essential a Business Plan Is To a Successful Business:	Q4	5     4     3     2     1
* The Handout(s) I Recevied Will Be Helpful.  I Plan To Read Them.	Q5	5     4     3     2     1
* I Was Informed About Unlimited FREE Counseling Sessions	Q6	5     4     3     2     1
* Overall, I Was Satisfied With This Counseling Session:	Q7	5     4     3     2     1
* I Will Recommend SCORE To My Business Friends:	Q8	5     4     3     2     1
* I Was Told About the Advantages of Attending SCORE Workshops:	Q9	5     4     3     2     1
* Did Client Express Interest In Another Counseling Session? :		Yes    No
If Interested, When Is Next Session Scheduled (Date)?: Enter as mm/dd/yyyy		If "Yes" above, but not scheduled; then fill in as 00/00/0000 and check 'Special Appt. below'.
If Interested, When Is Next Session Scheduled (Time)?:		9am-10am   10am-11am    11am-12pm    Special Appointment
*Is Client Better Able to Attend an Evening Workshop vs Day Scheduled Workshop?:		Yes    No  If uncertain, or depends on other factors, check 'No'.
Additional Comments by Client:
* I Certify That These Evaluations Are As Reported on the Paper Copy Filled Out by Client:		Yes   No   Note: Checking No will result in this data being disregarded.