REGIONAL WORKSHOP FEEDBACK FORM

Regional meet of VIPNET Club FEED BACK FORM Vipnet Club ID No.……………………Name of the Club...

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Regional meet of VIPNET Club FEED BACK FORM

Vipnet Club ID No.……………………Name of the Club................................................ 1.

Name: ......................................................................... Age .................... Sex:M/F ..................

2.

Address: ................................................................................................................................... ................................................................................... PIN .....................................................

3.

Email ID: ..................................................................................................................................

4.

Highest Educational Qualifications: .........................................................................................

5.

Occupation: ..............................................................................................................................

A- Expectation of VP from VIPNET Club 1-

What kind of institutional linkages you can provide to VP for VIPNET CLUB.

2-

What resources including expertise are available with your club to be used by other

3-

What kind of software you can develop for Vigyan Prasar (Book, booklet, activity book, CD, Film, poster, activity kit etc.).

4-

What role you can play as lead club of Vigyan Prasar.

5-

What role you can play in mobilizing financial resources from the State for the VIPNET Clubs.

6-

What and how the financial support can be provided to VIPNET Club.

B- Expectations of VIPNET CLUBS from Vigyan Prasar. 1-

What kind of Institutional Mechanism you expect from VP that can be established for VIPNET Clubs

2-

What kind of financial support you expect from VP.

3-

What kind of Software VP should develop for VIPNET Clubs?

4-

Can you develop a road map of activities for the clubs of your State/district, if yes, give a plane two years.

5-

What types of efforts should be taken by VP to strengthen VIPNET Clubs in your State/District. If yes, give a plan for two years. (Use Seprate Sheet)

C-After Attending Regional Meet for VIPNET Clubs. 1.

What type activity you like to perform at your club (As suggested)

2.

How many activities you like to conduct in each years <5 5 - 10 10 - 20 > 20

3.

What type of source you need use to popularise science : Print media Electronic media Training & Activities programme

4.

What type of efforts you will now take to strengthen the VIPNET Club in your State/district.

5.

What’s your overall expectation now from Vigyan Prasar

√)the answer in the given box: D- (For VIPNET News Letter) Please mark(√ 1.

2.

3.

4.

Status of your club Active

Inactive

Number of activities performed each year 1-5

6-10

More than 10

How long have you been receiving Vipnet News? One year Two years

Three years or more

What do you think about the level of the articles published in Vipnet News? High school students Common man Readers with science background Coordinators of Science Club

Specialist

5.

What columns/features in Vipnet News do you like most? (Please rank in order of preference.) Environment Science news Articles on contemporary topics Clubs Reports Interactive column Golu ki soch (Alternative logic) (Photo Quiz, World Puzzle etc.) Editorial VP News Thematic articles

6.

How many persons read your copy of Vipnet News? One Two Four Five

Three More than five

7.

Apart from Vipnet News, which other magazine(s) do you read? Name of magazine Language No. of issues in a year Annual subscription i. ............................................................................................................................................... ii. .............................................................................................................................................. iii. .............................................................................................................................................

8.

Do you keep earlier issues of Vipnet News for future reference? Yes No

9.

What rating would you like to give about Vipnet News in a scale of 1 (poor) to 10 (Excellent)

10.

Do you need to revise the contents of VIPNET News? Yes No

11.

If yes, what type of content you need to add in the VIPNET News letter:

(Use separate sheet if necessary) Date: .................. Signature ................………………… Name:…….………………………….