Sample Forms

This module will review follow-up materials to highlight how literacy can make a difference in people’s lives, encouraging learners to participate in life-long learning opportunities.

Follow-Up Sample Forms

Download sample forms below from the Follow-Up module.


Learner Satisfaction Survey Program Evaluation


Learner Satisfaction Survey Sample 2: Northern Connections Adult Learning Centres Evaluation

Ongoing Learner Questionnaire


Sample 3: Outreach Literacy

Community Partner Survey


Sample 4

Assessing Customer Services

The North Bay Literacy Council is asking for your assistance in helping us assess our customer service. Please complete the questionnaire and return to Anna-Marie Aquino at annama@nipissingu.ca (you will need to save it and then attach the document) or fax to North Bay Literacy Council 705-494-9856 by ______________. Please note that there are two pages. Thank You.


Sample 5: Northern Connections Adult Learning Centres

Monthly Client Survey Action Plan


Sample 6

Exit Survey


Next in the Module > Acknowledgements

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2024 Membership

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CLO Members

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