Course Survey

Course Survey

Your Value your Opinion!

    Student Name (required)

    Student Email (required)

    Title: Doctor / Physical Therapist (required)

    Name of Course (required)

    Instructors Name (required)

    Date Course Was Taken

    Date

    Month Day Year



    PLEASE RATE US ON A SCALE OF 1-5 WITH 5 INDICATING EXCELLENT AND 1 POOR

    SELECT THE NUMBER YOU FEEL MOST APPROPRIATE

    Course Offering

    Please Select The Appropriate Rating:

    1. Course Content Met Your Needs:


    2. Course Matched Description that was advertised:


    3. Pace of the Class:


    4. Textbook/Materials/Handouts:


    5. Class Location & Equipment:


    Comments? (Please elaborate)

    The Instructor

    Please Select The Appropriate Rating:

    1. Knowledge of the Subject Matter:

    2. Preparation for Each Class:

    3. Communicated Material Effectively:

    4. Responded Well to Student Questions:

    5. Established Positive Rapport With Students:

    Comments? (Please elaborate)

    Additional Questions

    What did you find was the most valuable part of this course?

    Do you have any suggestions on how we could improve this program?

    Other comments?