Online SelfCare Course Evaluation Form

Please rate the following on a scale of 1 to 5, with 1 being the least and 5 being the most. You do not have to answer every question.

Rows	1	2	3	4	5
The class focused on the course objectives/outline.
The course satisfied my goals/expectations.
The teaching strategy was appropriate for this course.
Instructor demonstrated expertise in subject.
The instructor shows enthusiasm and commitment to the course.

What did you like most about this course?
What would you change about the course and why?
Comment on the strengths, weakness or suggestions for course improvement.
Overall I would rate this workshop as:
I would recommend this workshop to others
Comments or suggestions regarding the course, online, registration process or organization of the course?
Testimonial: We would love to use any testimonials that you have about the course. This may be used in our
course advertising, website, newsletters, brochures or other promotional material. Please neatly write your
testimonial and complete the authorization form below if you would like to give a testimonial.
We greatly value and appreciate your comments and support. Thank you!
Testimonial (Optional)
Name Optional
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Street Address
Street Address Line 2
CityState / Province
Postal / Zip Code
Thank you for taking the time to complete this evaluation!
Witness a Miracle
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