Program & Instructor Training Evaluation
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1.
Your Name
(Required.)
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2.
Name of Instructor/Presenter
(Required.)
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3.
Location of training
(Required.)
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4.
Which program did you take?
(Required.)
Basic Intensive Training
Advanced Intensive Training
Certification
Reality Therapy Corner
Difficult Discussions in Diversity
Other (please specify)
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5.
Date(s) of program
(Required.)
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6.
Please rate the program
(Required.)
Strongly Dissatisfied
Average
Strongly Satisfied
The overall content of the program
Strongly Dissatisfied
Average
Strongly Satisfied
The knowledge and presentation skills of the presenter
Strongly Dissatisfied
Average
Strongly Satisfied
The facility and accommodations
Strongly Dissatisfied
Average
Strongly Satisfied
The content and quality of the program materials
Strongly Dissatisfied
Average
Strongly Satisfied
The relevance of the content to my professional life
Strongly Dissatisfied
Average
Strongly Satisfied
The relevance of the content to my personal life
Strongly Dissatisfied
Average
Strongly Satisfied
Please explain
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7.
How well did this experience meet your needs?
(Required.)
Strongly Dissatisfied
Average
Strongly Satisfied
Survival - Was it a safe environment?
Strongly Dissatisfied
Average
Strongly Satisfied
Please Explain
Love & Belonging - Did I build relationships with other participants and the instructor?
Strongly Dissatisfied
Average
Strongly Satisfied
Please Explain
Power - Did I learn relevant, useful information?
Strongly Dissatisfied
Average
Strongly Satisfied
Please Explain
Freedom - Was I afforded choices, independence and creativity?
Strongly Dissatisfied
Average
Strongly Satisfied
Please Explain
Fun - Did I have fun?
Strongly Dissatisfied
Average
Strongly Satisfied
Please Explain
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8.
What I liked about the program?
(Required.)
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9.
What could be done better next time:
(Required.)
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10.
Are you interested in further programs?
(Required.)
Yes
No
Maybe
11.
Do you want to be contacted regarding your program experience? If so, please provide your contact details.
12.
Please provide any additional comments you may have concerning the program and whether or not it met your expectations.