Retinal Camera Training Feedback
Please provide your feedback on the retinal camera training session to help us improve future training programs.
Full Name
*
First Name
Last Name
Department/Unit
*
Email Address
example@example.com
Date of Training Session
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Which retinal camera model was used during your training?
*
Please Select
Model A
Model B
Model C
Other
Please rate the following aspects of the training session.
*
Rows
Excellent
Good
Average
Poor
Clarity of Instruction
1
2
3
4
Trainer's Knowledge
5
6
7
8
Hands-on Practice
9
10
11
12
Training Materials
13
14
15
16
Equipment Functionality
17
18
19
20
How confident do you feel using the retinal camera after this training?
*
Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
What were the most valuable aspects of the training?
What challenges or difficulties did you encounter during the training?
Do you have any suggestions to improve future retinal camera training sessions?
Would you recommend this training to others?
*
Yes
No
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