Educational Program Feedback Poll
Please help us improve by sharing your honest feedback about the educational program you attended.
Your Full Name
First Name
Last Name
Email Address (optional)
example@example.com
Program Attended
*
Please Select
Workshop
Seminar
Course
Online Webinar
Other
Date of Program
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please rate the following aspects of the program:
*
Rows
Excellent
Good
Fair
Poor
Program Content
1
2
3
4
Instructor Effectiveness
5
6
7
8
Usefulness of Materials
9
10
11
12
Organization & Structure
13
14
15
16
Engagement/Interaction
17
18
19
20
Overall, how satisfied are you with the program?
*
1
2
3
4
5
What did you like most about the program?
What could be improved in future programs?
Would you recommend this program to others?
*
Yes
No
Maybe
Which topics or types of programs would you be interested in for the future? (Select all that apply)
Advanced Level Courses
Workshops
Certifications
Online Webinars
Other
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