CPD Representative Feedback Form
Please provide your feedback regarding your experience with the CPD representative. Your responses will help us improve our professional development services.
Your Full Name
*
First Name
Last Name
Your Email Address
*
example@example.com
Your Role or Position
*
Please Select
CPD Participant
Colleague
Supervisor/Manager
Other
Name of CPD Representative
*
First Name
Last Name
Date of Interaction
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please rate the following aspects of the CPD representative's performance:
*
Rows
Excellent
Good
Satisfactory
Needs Improvement
Professionalism
1
2
3
4
Knowledge of Subject
5
6
7
8
Communication Skills
9
10
11
12
Responsiveness
13
14
15
16
Supportiveness
17
18
19
20
Overall, how satisfied are you with the CPD representative?
*
1
2
3
4
5
What did the CPD representative do particularly well?
What areas could the CPD representative improve upon?
Additional Comments or Suggestions
Submit Feedback
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