Evaluation Form

Please indicate which pamphlet you have used.
___#1 - A Fathers Story by Michael Carlin
___#2 - Almost 1.5 Million Children: U.S. Department of Justice Report
___#3 - Child Support Enforcement
___#4 - Long Distance Dads by Randell D. Turner
___#5 - National Resources
___#6 - Preparing a Child for a Prison Visit: Assisting Families of Inmates, Inc.
___#7 - Prisoner Child Support - Broke But Not Deadbeat by Dana Reichert
___#8 - Statewide Fatherhood Programs
___#9 - Telling the children by Lloyd Withers
___#10 - Tips from a Father in Prison by Michael Carlin

Please rate the pamphlet on a scale of 1 - 5. (1 =poor, 2=fair, 3=o.k., 4=good, 5=great)

Usefulness 1 2 3 4 5

Readability 1 2 3 4 5

Accuracy 1 2 3 4 5

How will you use the pamphlet?


How could the pamphlet be improved?


How did this pamphlet come to your attention?


Do you feel that more should be done in this subject area? Please suggest a specific topic or concern:



Tell us about you: ___incarcerated father ___corrections staff ___community agency
___family member of incarcerated father ___other (please specify):


Optional:
Name____________________________________
Institution or agency__________________________
Address___________________________________
_________________________________________
Phone____________________________________

E-mail____________________________________

Send completed form to
The Incarcerated Fathers Library at FCN
32 Oak Grove Rd. Palmyra, VA 22963
434/589-3036
434/589-6520 fax fcn@fcnetwork.org.