Instructor and Site Evaluation Survey
Please provide your feedback on the instructor and facility to help us improve our services.
Course or Session Name
*
Instructor Name
*
Date of Session
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Please rate the following aspects of the instructor:
*
Rows
Poor
Fair
Good
Very Good
Excellent
Knowledge of subject
1
2
3
4
5
Clarity of explanations
6
7
8
9
10
Ability to engage participants
11
12
13
14
15
Professionalism
16
17
18
19
20
Responsiveness to questions
21
22
23
24
25
How would you rate the overall effectiveness of the instructor?
*
1
2
3
4
5
Please rate the following aspects of the site/facility:
*
Rows
Poor
Fair
Good
Very Good
Excellent
Cleanliness
26
27
28
29
30
Safety and security
31
32
33
34
35
Technical equipment/resources
36
37
38
39
40
Accessibility
41
42
43
44
45
Comfort of environment
46
47
48
49
50
How would you rate the overall quality of the site/facility?
*
1
2
3
4
5
What did you like most about the instructor or the site?
What improvements would you suggest for the instructor or the site?
Would you recommend this instructor and site to others?
*
Yes
No
If you would like to be contacted for follow-up, please provide your email (optional):
example@example.com
Submit Evaluation
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