This class evaluation survey is designed to be tailored to your university. The * indicates where the questions require specific personalization.

* 1. What is your *[field of study or concentration]?

* 2. How did you learn about the *[title of HHRE initiative] offering?

* 3. How many *[classes, events, forums or lecture(s)] did you attend?

* 4. Please rate the statements on a scale of 1 to 5
(1 - strongly disagree & 5 - strongly agree)

  1 2 3 4 5
The *[instructor/speaker/lecturer] encouraged class participation and discussion
The syllabus was clear and comprehensive
The *[course, event, forum, lecture(s)] concepts and theories were presented in a clear and concise way
The *[course, event, forum, lecture(s)] readings and materials aided in my understanding of the course concepts
The pace of the *[course, event, forum, lecture(s)] was appropriate
I believe this *[course, event, forum, lecture(s)] served as a core component to my professional development

* 5. How did this course prepare you to be a better *[medical/public health] specialist?

* 6. Would you recommend this *[course, event, forum, lecture(s)] to other students?

* 7. What did you enjoy most about this *[course, event, forum, lecture(s)]?

* 8. What did you enjoy least about this *[course, event, forum, lecture(s)]?

* 9. Were there any course materials that were particularly useful or helpful? Are there other topics or materials you would recommend?

* 10. Please feel free to use this space for any other comments or recommendations about this *[course, event, forum, lecture(s)].