Educational Video Viewing Guide Form
Please fill out this form to help us track your engagement with the educational video.
Full Name
First Name
Last Name
Email Address
example@example.com
Video Title
*
Date Viewed
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
How much of the video did you watch?
*
Please Select
All of it
Most of it (75-99%)
About half (50-74%)
Less than half
What was the main topic of the video?
*
How would you rate the educational value of this video?
*
1
2
3
4
5
Did you find the video easy to follow?
*
Yes
Somewhat
No
Would you recommend this video to others?
*
Yes
Maybe
No
Additional Comments or Feedback
Submit
Should be Empty: