"Giving Life Through Education" tm           
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Student Evaluation Form
This page is for students evaluating a continuing education course that they participated. Your name is NOT required but is asked for.
Please make sure all fields are completed and make sure you hit the "Submit" button when done.
Course Evaluation Form
Please rate on a scale of 1 to 5. 1 being Poor
and 5 being Excellent
Name of Course:
Course Date
Course Location:
Name of Instructor:
Did the course meet your needs? (1-5):
Were the materials used in class up-to-date (1-5)::
Was the environment clean and in good condition? (1-5):
Were the manikins used for practice in good working order?(1-5):
Was the Instructor available for questions? (1-5):
Was the Instructor knowledgeable? (1-5):
Comments you would like to make:
Your name if you wish to provide it:
Your phone number if you wish to provide it:
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