RATE YOUR PROGRAM This course evaluation allows you to rate the training program you have completed. This evaluation provides your instructor and training program provider with feedback on the quality of training materials and instruction. Class Information Question Title * 1. What type of training class ? CPR AED First Aid First Aid | CPR AED Pediatric CPR AED Pediatric First Aid Pediatric First Aid | CPR AED Basic Life Support (BLS) Bloodborne Pathogens (BBP) Stop Life-Threatening Bleeding Child and Babysitting Safety Emergency Use of Medical Oxygen Wilderness First Aid AVIRT - Active Shooter Response Training Advanced First Aid Emergency Medical Response Advanced Cardiac Life Support (ACLS) Question Title * 2. What was the date of the class? Select Date Date Question Title * 3. What was the primary instructor’s first and last name or Registry number (listed on the certification card)? Question Title * 4. Class Engagement Poor Below Average Average Above Average Excellent Organization, Pace, and Flow Organization, Pace, and Flow Poor Organization, Pace, and Flow Below Average Organization, Pace, and Flow Average Organization, Pace, and Flow Above Average Organization, Pace, and Flow Excellent Not Too Basic, Not Too Complex Not Too Basic, Not Too Complex Poor Not Too Basic, Not Too Complex Below Average Not Too Basic, Not Too Complex Average Not Too Basic, Not Too Complex Above Average Not Too Basic, Not Too Complex Excellent Time Allowed for Skill Practice Time Allowed for Skill Practice Poor Time Allowed for Skill Practice Below Average Time Allowed for Skill Practice Average Time Allowed for Skill Practice Above Average Time Allowed for Skill Practice Excellent Teaching Effectiveness (knowledge, skill, appearance, behavior, class management) Teaching Effectiveness (knowledge, skill, appearance, behavior, class management) Poor Teaching Effectiveness (knowledge, skill, appearance, behavior, class management) Below Average Teaching Effectiveness (knowledge, skill, appearance, behavior, class management) Average Teaching Effectiveness (knowledge, skill, appearance, behavior, class management) Above Average Teaching Effectiveness (knowledge, skill, appearance, behavior, class management) Excellent Question Title * 5. Class Content Poor Below Average Average Above Average Excellent Videos Videos Poor Videos Below Average Videos Average Videos Above Average Videos Excellent Class Presentation Class Presentation Poor Class Presentation Below Average Class Presentation Average Class Presentation Above Average Class Presentation Excellent Skill Guide Skill Guide Poor Skill Guide Below Average Skill Guide Average Skill Guide Above Average Skill Guide Excellent Online Training Component (if taken) Online Training Component (if taken) Poor Online Training Component (if taken) Below Average Online Training Component (if taken) Average Online Training Component (if taken) Above Average Online Training Component (if taken) Excellent Digital Student Book Digital Student Book Poor Digital Student Book Below Average Digital Student Book Average Digital Student Book Above Average Digital Student Book Excellent Evaluation (Written Exam, Skill Performance Evaluation) Evaluation (Written Exam, Skill Performance Evaluation) Poor Evaluation (Written Exam, Skill Performance Evaluation) Below Average Evaluation (Written Exam, Skill Performance Evaluation) Average Evaluation (Written Exam, Skill Performance Evaluation) Above Average Evaluation (Written Exam, Skill Performance Evaluation) Excellent Question Title * 6. Self-Assessment Poor Below Average Average Above Average Excellent How would you rate your emergency care skills BEFORE taking this class? How would you rate your emergency care skills BEFORE taking this class? Poor How would you rate your emergency care skills BEFORE taking this class? Below Average How would you rate your emergency care skills BEFORE taking this class? Average How would you rate your emergency care skills BEFORE taking this class? Above Average How would you rate your emergency care skills BEFORE taking this class? Excellent How would you rate your emergency care skills AFTER taking this class? How would you rate your emergency care skills AFTER taking this class? Poor How would you rate your emergency care skills AFTER taking this class? Below Average How would you rate your emergency care skills AFTER taking this class? Average How would you rate your emergency care skills AFTER taking this class? Above Average How would you rate your emergency care skills AFTER taking this class? Excellent How willing would you be to respond to an emergency BEFORE taking this class? How willing would you be to respond to an emergency BEFORE taking this class? Poor How willing would you be to respond to an emergency BEFORE taking this class? Below Average How willing would you be to respond to an emergency BEFORE taking this class? Average How willing would you be to respond to an emergency BEFORE taking this class? Above Average How willing would you be to respond to an emergency BEFORE taking this class? Excellent How willing would you be to respond to an emergency AFTER taking this class? How willing would you be to respond to an emergency AFTER taking this class? Poor How willing would you be to respond to an emergency AFTER taking this class? Below Average How willing would you be to respond to an emergency AFTER taking this class? Average How willing would you be to respond to an emergency AFTER taking this class? Above Average How willing would you be to respond to an emergency AFTER taking this class? Excellent Question Title * 7. Comments (what you liked most, what you liked least, etc.) Question Title * 8. Would you recommend this course to others? Yes No Question Title * 9. Would you like an HSI representative to follow up with you about your comments? Yes No Question Title * 10. Is it ok for HSI to use your comments in this survey for marketing purposes? Yes No Question Title * 11. Name (Optional) Question Title * 12. Email (Optional) Done
