* 1. Course Attended:

* 2. Subject (session):

* 3. Date Attended

Date / Time

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

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

* 5. Comments

Please evaluate the instructors on a scale of 1 to 5 ( 5= Excellent; 1= Poor )

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

* 7. Instructor #2

* 8. Instructor #3

* 9. Instructor #4

* 10. Instructor #5

* 11. Comments

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

* 13. How did you hear about our course?

* 14. What was our weakest point?

* 15. What was our strongest point?

* 16. Other comments:

* 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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