Wheelchair Assistance Training Survey
Please provide your feedback to help us improve our wheelchair assistance training program.
Participant Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Please select your role in relation to the training.
*
Please Select
Trainee (receiving training)
Trainer (delivering training)
Observer
Other
How would you rate the following aspects of the wheelchair assistance training?
*
Rows
Excellent
Good
Fair
Poor
Clarity of instructions
1
2
3
4
Trainer's knowledge
5
6
7
8
Hands-on practice opportunities
9
10
11
12
Usefulness of training materials
13
14
15
16
Safety procedures covered
17
18
19
20
How confident do you feel in providing wheelchair assistance after this training?
*
Not confident at all
1
2
3
4
Very confident
5
1 is Not confident at all, 5 is Very confident
Were there any challenges or difficulties you encountered during the training?
*
Yes
No
If yes, please describe the challenges or difficulties you faced.
Please rate your overall satisfaction with the wheelchair assistance training.
*
1
2
3
4
5
Do you have any suggestions for improving the wheelchair assistance training?
Submit Survey
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