Training Evaluation Form

Your Name *

Clinic *

Today's Date * +

THE COURSE: *

	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
Syllabus accurately described course content and objectives	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
Assignments were reasonable and appropriate	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
Course pace and difficulty were appropriate	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
Exams and quizzes reflected important course aspects	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
Fellow students were academically prepared for the course	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
Class size was not too large for the subject and format	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
I would recommend this course to other students	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree

BENEFIT DERIVED FROM COURSE: *

	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
The course increased my interest in the subject	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
Having completed the course, I feel knowledgeable in the subject	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
The course contributed to the completeness of my education	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree
Overall, the course and instructor met my expectations	Strongly Disagree	Disagree	No Opinion/ Neutral	Agree	Strongly Agree

After completing this Training, I can confidently perform all 4 procedures - LHR, Mesopen, Zeltiq & Ultrasonic *

Yes

No

Please list then describe any positive and/or negative factors about the course * 🛈

Do you have any suggestions for improving the course? * 🛈