Host Family Evaluation
Name: _________________________________________________________ Date: _______________
Phone: ___________________________ Email Address: _____________________________________
Program Location: _____________________ Group Coordinator: _____________________________
Who did you host? ____________________________________________________________________
1. Did you enjoy participating in the NISE program? □ YES
□ NO
Comments: __________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
2. How did the Host Family Orientation assist you in preparing for your student(s) and/or escort(s)?
□ Excellent □ Good
□ Average □ Poor
Comments: __________________________________________________________________________
____________________________________________________________________________________
3. Was there adequate contact between you and the Group Coordinator?
□ YES □ Wanted more contact □ Inadequate
Comments: __________________________________________________________________________
4. Would you like to be a Host Family again?
□ YES □ NO
Comments: __________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
5. How did your student(s) and/or escort(s) adapt to your family life?
□ Easily
□ Satisfactory □ With difficulty
Comments: __________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
6. Were the transportation arrangements satisfactory?
□ YES □ NO
Comments: __________________________________________________________________________
7. Please share your thoughts about the Welcome Party. ______________________________________
____________________________________________________________________________________
8. Please share your thoughts about the Farewell Party. _______________________________________
____________________________________________________________________________________
Additional Comments: Please share your thoughts about your experience as a host family. Was the
experience of benefit to your family? What improvements would you suggest?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
I wish to recommend the following families as potential NISE Host Families:
Name: __________________________________
Name: __________________________________
Email Address:
Email Address:
________________________________________ ________________________________________
Home Phone: ____________________________
Home Phone: ____________________________
Relationship to you: _______________________
Relationship to you: _______________________
Name: __________________________________
Name: __________________________________
Email Address:
Email Address:
_______________________________________
________________________________________
Home Phone: ____________________________
Home Phone: ____________________________
Relationship to you: _______________________
Relationship to you: _______________________
NISE also offers OUTBOUND PROGRAMS for students who want to study abroad for a summer,
semester, or school year. Do you want more information about the OUTBOUND PROGRAM?
□ YES □ NO
NISE thanks you and your family again for your participation in our program. Your cooperation in
returning this evaluation makes it possible for us to maintain our high standards of the homestay
program and to make improvements. We hope your experience was enjoyable and that you will host
with us again. Thank you.