Course Attended:

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* 1. Course Attended:

Subject (session):

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* 2. Subject (session):

Date Attended

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* 3. Date Attended

Date / Time
Please evaluate our course in the following areas:

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* 4. Please evaluate our course in the following areas:

  Excellent Good Fair Poor Not Used
Instruction
Videotapes
Hands-On
Slide Quality
Handouts
Room Comfort
Comments

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* 5. Comments

Please evaluate the instructors on a scale of 1 to 5 ( 5= Excellent; 1= Poor )
Instructor #1 (Last Name - Rating)

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* 6. Instructor #1 (Last Name - Rating)

Instructor #2

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* 7. Instructor #2

Instructor #3

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* 8. Instructor #3

Instructor #4

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* 9. Instructor #4

Instructor #5

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* 10. Instructor #5

Comments

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* 11. Comments

Was there a charge for this class for you?

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* 12. Was there a charge for this class for you?

How did you hear about our course?

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* 13. How did you hear about our course?

What was our weakest point?

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* 14. What was our weakest point?

What was our strongest point?

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* 15. What was our strongest point?

Other comments:

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* 16. Other comments:

Would you like to be contacted regarding this evaluation?  If so, please enter your contacts information below:

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* 17. Would you like to be contacted regarding this evaluation?  If so, please enter your contacts information below:

Thank you for your time and contributions. They are important to us. Forms compliments of VAVRS/Fire Programs

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