Customer Satisfaction Course Sign Off
Please provide your feedback on the course and confirm your completion by signing off below.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Course Title
*
Date of Course Completion
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Overall, how satisfied are you with the course?
*
1
2
3
4
5
Please rate the following aspects of the course:
*
Rows
Excellent
Good
Average
Poor
Course Content
1
2
3
4
Instructor Effectiveness
5
6
7
8
Course Materials
9
10
11
12
Logistics/Organization
13
14
15
16
What did you like most about the course?
What aspects of the course could be improved?
Would you recommend this course to others?
*
Yes
No
Maybe
Additional comments or suggestions
Please sign below to confirm you have completed the course.
*
Submit
Submit
Should be Empty: