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Controlled Substances - Course Evaluation
*
1.
Name
(Required.)
2.
State License #
*
3.
Course achieved all outlined goals/objectives
(Required.)
Strongly Disagree
1 star
Disagree
2 stars
Neither Agree nor Disagree
3 stars
Agree
4 stars
Strongly Agree
5 stars
*
4.
Course offered high quality presentation(s)
(Required.)
Strongly Disagree
1 star
Disagree
2 stars
Neither Agree nor Disagree
3 stars
Agree
4 stars
Strongly Agree
5 stars
*
5.
Course content was valuable to my professional development
(Required.)
Strongly Disagree
1 star
Disagree
2 stars
Neither Agree nor Disagree
3 stars
Agree
4 stars
Strongly Agree
5 stars
*
6.
Environment was comfortable and effective for learning
(Required.)
Strongly Disagree
1 star
Disagree
2 stars
Neither Agree nor Disagree
3 stars
Agree
4 stars
Strongly Agree
5 stars
*
7.
Name of Instructor Evaluated
(Required.)
*
8.
Instructor was knowledgeable with subject matter
(Required.)
Strongly Disagree
1 star
Disagree
2 stars
Neither Agree nor Disagree
3 stars
Agree
4 stars
Strongly Agree
5 stars
*
9.
Instructor offered high quality slides
(Required.)
Strongly Disagree
1 star
Disagree
2 stars
Neither Agree nor Disagree
3 stars
Agree
4 stars
Strongly Agree
5 stars
*
10.
Instructor was effective at teaching/conveying content
(Required.)
Strongly Disagree
1 star
Disagree
2 stars
Neither Agree nor Disagree
3 stars
Agree
4 stars
Strongly Agree
5 stars
11.
Name of Instructor Evaluated (if a second instructor)
12.
Instructor was knowledgeable with subject matter
Strongly Disagree
1 star
Disagree
2 stars
Neither Agree nor Disagree
3 stars
Agree
4 stars
Strongly Agree
5 stars
13.
Instructor offered high quality slides(s)
Strongly Disagree
1 star
Disagree
2 stars
Neither Agree nor Disagree
3 stars
Agree
4 stars
Strongly Agree
5 stars
14.
Instructor was effective at teaching/conveying content
Strongly Disagree
1 star
Disagree
2 stars
Neither Agree nor Disagree
3 stars
Agree
4 stars
Strongly Agree
5 stars
15.
Other Suggestions/Feedback
*
16.
How did you hear about the course? (select all that apply)
(Required.)
email (sent from APPex)
email (indirect or forwarded)
website, APPex (www.APPexecutives.org)
website, Department of Consumer Affairs-PA Board (www.pac.ca.gov)
friend/colleague
flyer
work/school announcement
social media
other (please specify)
