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Class Evaluation
Fort Wayne Pediatrics
www.fwpeds.com
1.
What was the date of the class you attended?
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
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31
*
2.
What is the name of the class you attended?
(Required.)
Prenatal Newborn Class - Taught by Dr. Ellen Cooper
Prenatal Breastfeeding Class - Taught by Kristi Lactation
CPR Friends & Family - Taught by Christina NP
*
3.
Overall, how would you rate the course?
(Required.)
Excellent
Very good
Good
Fair
Poor
*
4.
How useful were the course materials (slides, videos, etc)?
(Required.)
Extremely useful
Very useful
Somewhat useful
Not so useful
Not at all useful
*
5.
How clearly did your instructor explain the course material?
(Required.)
Extremely clearly
Very clearly
Somewhat clearly
Not so clearly
Not at all clearly
*
6.
Was the speed with which your instructor presented the course material too fast, too slow, or about right?
(Required.)
Much too fast
Too fast
The right amount
Too slow
Much too slow
*
7.
How well did your instructor answer questions?
(Required.)
Extremely well
Very well
Somewhat well
Not so well
Not at all well
*
8.
What improvements would you make to the course?
(Required.)
*
9.
Would you recommend this course to a friend?
(Required.)
Yes
No
*
10.
How did you hear about Fort Wayne Pediatrics?
(Required.)
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