CPR Satisfaction Survey

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1. Please Select the Course You Attended:

Please Select the Course You Attended:

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2. Please tell us how you heard about our CPR class:

Please tell us how you heard about our CPR class: Previously trained by Webster EMS

Friend Suggested

Word of Mouth

Hubbard Hospital

Webster EMS Website

Other (please specify)

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3. For you, this course was:

For you, this course was: Initial Training

Recertification

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4. Your primary reason for taking this class?

Your primary reason for taking this class? Job Requirement

Exposed to new child / new parant / grandparent, etc.

Life Event prompted me to want to learn CPR

Just always wanted to learn

Other (please specify)

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5. The Registration Process for this Course was:

The Registration Process for this Course was: Easy and Painless

Rediculous, no body called me back

Complicated, but OK

Other (please specify)

6. The Length of this course was:

The Length of this course was: Just Right

Too Short

Too Long

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7. Rate the Instructor in these areas:

	Poor	Not Very Good	Adequate	Good	Excellent
1. Knowledge of Subject	*Rate the Instructor in these areas: 1. Knowledge of Subject Poor	1. Knowledge of Subject Not Very Good	1. Knowledge of Subject Adequate	1. Knowledge of Subject Good	1. Knowledge of Subject Excellent
2. Ability to Answer Questions	2. Ability to Answer Questions Poor	2. Ability to Answer Questions Not Very Good	2. Ability to Answer Questions Adequate	2. Ability to Answer Questions Good	2. Ability to Answer Questions Excellent
3. Willingness to Answer Questions	3. Willingness to Answer Questions Poor	3. Willingness to Answer Questions Not Very Good	3. Willingness to Answer Questions Adequate	3. Willingness to Answer Questions Good	3. Willingness to Answer Questions Excellent
4. Instructor's Ability to Present Information Clearly	4. Instructor's Ability to Present Information Clearly Poor	4. Instructor's Ability to Present Information Clearly Not Very Good	4. Instructor's Ability to Present Information Clearly Adequate	4. Instructor's Ability to Present Information Clearly Good	4. Instructor's Ability to Present Information Clearly Excellent
5. Instructor's Ability to "Reach" the Class	5. Instructor's Ability to "Reach" the Class Poor	5. Instructor's Ability to "Reach" the Class Not Very Good	5. Instructor's Ability to "Reach" the Class Adequate	5. Instructor's Ability to "Reach" the Class Good	5. Instructor's Ability to "Reach" the Class Excellent
6. OVERALL, this INSTRUCTOR was:	6. OVERALL, this INSTRUCTOR was: Poor	6. OVERALL, this INSTRUCTOR was: Not Very Good	6. OVERALL, this INSTRUCTOR was: Adequate	6. OVERALL, this INSTRUCTOR was: Good	6. OVERALL, this INSTRUCTOR was: Excellent

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8. Please Evaluate the Training Venue:

	Poor	Not Very Good	Adequate	Good	Excellent
1. Easy to Locate	*Please Evaluate the Training Venue: 1. Easy to Locate Poor	1. Easy to Locate Not Very Good	1. Easy to Locate Adequate	1. Easy to Locate Good	1. Easy to Locate Excellent
2. Parking	2. Parking Poor	2. Parking Not Very Good	2. Parking Adequate	2. Parking Good	2. Parking Excellent
3. I felt Safe/Secure	3. I felt Safe/Secure Poor	3. I felt Safe/Secure Not Very Good	3. I felt Safe/Secure Adequate	3. I felt Safe/Secure Good	3. I felt Safe/Secure Excellent
4. Room was Clean & Tidy	4. Room was Clean & Tidy Poor	4. Room was Clean & Tidy Not Very Good	4. Room was Clean & Tidy Adequate	4. Room was Clean & Tidy Good	4. Room was Clean & Tidy Excellent
5. Rest Room Facilities	5. Rest Room Facilities Poor	5. Rest Room Facilities Not Very Good	5. Rest Room Facilities Adequate	5. Rest Room Facilities Good	5. Rest Room Facilities Excellent
6. Break Area / Options	6. Break Area / Options Poor	6. Break Area / Options Not Very Good	6. Break Area / Options Adequate	6. Break Area / Options Good	6. Break Area / Options Excellent
7. Overall, this training site was:	7. Overall, this training site was: Poor	7. Overall, this training site was: Not Very Good	7. Overall, this training site was: Adequate	7. Overall, this training site was: Good	7. Overall, this training site was: Excellent

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9. Please select your gender:

Please select your gender:

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10. Please select your age grouping:

Please select your age grouping:

CPR Satisfaction Survey

1. Default Section

*1. Please Select the Course You Attended:

*2. Please tell us how you heard about our CPR class:

*3. For you, this course was:

*4. Your primary reason for taking this class?

*5. The Registration Process for this Course was:

6. The Length of this course was:

*7. Rate the Instructor in these areas:

*8. Please Evaluate the Training Venue:

*9. Please select your gender:

*10. Please select your age grouping:

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1. Please Select the Course You Attended:

*
2. Please tell us how you heard about our CPR class:

*
3. For you, this course was:

*
4. Your primary reason for taking this class?

*
5. The Registration Process for this Course was:

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7. Rate the Instructor in these areas:

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8. Please Evaluate the Training Venue:

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9. Please select your gender:

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10. Please select your age grouping: