* 1. Which type of instruction did you participate in?

* 2. Instructor's name:

* 3. Please rate your instructor on the following criteria.

  Excellent Very Good Good Fair Poor
Timeliness of Contact
Knowledge
Organization
Communication
Safety Conscious
Motivating
Quality of Instruction
Enthusiasm

* 4. Would you recommend this program to others?

* 5. What did you like most about the instructor or program?

* 6. What did you like least about the instructor or program?

* 7. How did you hear of our program? (please check all that apply)

* 8. Affiliation

* 9. If you would like to be contacted regarding your comments please leave your email address.

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