Course Evaluation Feedback Form

Course Title* (Required)

Location of Training* (Required)

Start Date* (Required)

End Date* (Required)

Name of the Instructor* (Optional)

Quality of Instruction *(Required) ExcellentGoodFairPoor

Relevance of Material *(Required) ExcellentGoodFairPoor

Organization of Course *(Required) ExcellentGoodFairPoor

Participation/Discussion *(Required) ExcellentGoodFairPoor

Interest of Material *(Required) ExcellentGoodFairPoor

Facility Conditions *(Required) ExcellentGoodFairPoor

Instructor Knew the subject *(Required) ExcellentGoodFairPoor

Instructor Presentation *(Required) ExcellentGoodFairPoor

Instructor was Interesting *(Required) ExcellentGoodFairPoor

Instructor was punctual ExcellentGoodFairPoor

Would you recommend this course to others in your profession? *(Required) YesNo

Why would you recommend/ not recommend this course? (Optional)

Delegate's Name.* (Required)

Delegate's Email Address* (Required)

Delegate Phone No.* (Required)