Ice breaker evaluation form

Here's a sample icebreaker evaluation form that you can use to gather feedback from participants:

Icebreaker Evaluation Form

Introduction: Thank you for participating in our icebreaker activity! We hope you had a great time getting to know each other. Your feedback is important to us, and we'd love to hear your thoughts on the activity. Please take a few minutes to complete this evaluation form.

Section 1: Overall Experience

  1. How would you rate your overall experience with the icebreaker activity?

(Scale: 1 = Poor, 2 = Fair, 3 = Good, 4 = Excellent, 5 = Outstanding)

  1. What did you enjoy most about the activity?

(Open-ended text field)

  1. What did you find most challenging or uncomfortable about the activity?

(Open-ended text field)

Section 2: Icebreaker Activity

  1. How would you rate the icebreaker activity in terms of its effectiveness in helping you get to know others?

(Scale: 1 = Not at all effective, 2 = Somewhat effective, 3 = Neutral, 4 = Very effective, 5 = Extremely effective)

  1. Were the questions or prompts used in the activity relevant and engaging?

(Scale: 1 = Not at all, 2 = Somewhat, 3 = Neutral, 4 = Very, 5 = Extremely)

  1. Did the activity help you feel more comfortable and relaxed in the group?

(Scale: 1 = Not at all, 2 = Somewhat, 3 = Neutral, 4 = Very, 5 = Extremely)

Section 3: Suggestions for Improvement

  1. What suggestions do you have for improving the icebreaker activity?

(Open-ended text field)

  1. Are there any specific changes or modifications you would like to see made to the activity?

(Open-ended text field)

Section 4: Additional Comments

Is there anything else you'd like to share about your experience with the icebreaker activity?

(Open-ended text field)

Conclusion: Thank you for taking the time to complete this evaluation form! Your feedback is invaluable in helping us improve our icebreaker activities. If you have any further comments or suggestions, please don't hesitate to reach out to us.

You can adjust the questions and scales to fit your specific needs and goals. It's also a good idea to keep the evaluation form concise and easy to complete, so that participants are more likely to provide feedback.