Manikin Training Survey
Please share your feedback about the manikin training session to help us improve future trainings.
Full Name
First Name
Last Name
Role or Position
Please Select
Nurse
Doctor
Medical Student
Paramedic
Other
Email Address (optional, for follow-up if needed)
example@example.com
Date of Training Session
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Type of Manikin Used
*
Please Select
Basic CPR Manikin
Advanced Life Support Manikin
Pediatric Manikin
Obstetric Manikin
Other
How would you rate the overall quality of the training?
*
1
2
3
4
5
How confident do you feel about using the manikin after this training?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
Which aspects of the training did you find most useful? (Select all that apply)
Hands-on practice
Instructor guidance
Realism of manikin
Teamwork exercises
Other
Do you have any suggestions or comments to improve future manikin training sessions?
Submit Survey
Should be Empty: