APPENDIX B
Eastern Illinois University
Department of Health Promotion
Peer/Chairperson Evaluation Form – Technology Delivered Courses

Instructor: __________________________________________________ 
Course: ____________________________________________________Date: ___________ 

	5                             4                           3                             2                                  1         
Strongly Agree               Agree               Undecided               Disagree                Strongly Disagree
1.  The overall design of the course, including online and face-to-face (in the case of hybrid courses) components such as navigational information and course, instructor, and student information, is made 
clear to the student at the beginning of the course.	5	4	3	2	1	
2. A current and comprehensive syllabus is provided.     	5	4	3	2	1	
3. A consistent navigation structure is followed and navigational instructions make the organization of the course easy to understand.	5	4	3	2	1	
4. Learning objectives are clearly stated and understandable to the student.		5	4	3	2	1	
5. The grading policy is transparent and easy to understand.	5	4	3	2	1	
6. Instructional materials are appropriate to the online environment, and are easily accessible to and usable by the student.	5	4	3	2	1	
7. Learning activities are linked to and promote the achievement of the learning stated objectives	5	4	3	2	1	
8. Learning activities foster instructor-student, content-student, and if appropriate, student-student interaction.	5	4	3	2	1	
9. Assessment criteria are clear, available to the student 	5	4	3	2	1	
10. Student work is clearly being evaluated according to the stated assessment criteria.	5	4	3	2	1	
11. The face-to-face, electronic, and online course components are accessible to all students	5	4	3	2	1	
12. The course design prompts the instructor to be present, active, and engaged with the students.	5	4	3	2	1	
                                                                                                        Total Score:		

Superior (54+)     Highly Effective (48-53)      Satisfactory (42-47)      Unsatisfactory (Below 42)   
Comments:

Signature:________________________________________________  Date: ____________