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Course Name: _________________________ Location: _____________ Date: ______________
Instructor (s) __________________________ Your name (optional) _______________________
Please take a moment to complete this feedback form. Your comments will be carefully reviewed and use to improve the quality of the course.
OVERALL
1. Rate your overall satisfaction with the course.
_____ Very Satisfied
_____ Satisfied
_____ Neutral
_____ Dissatisfied
_____Very Dissatisfied
2. Rate the course in terms of meeting your educational needs.
_____ Very Satisfied
_____ Satisfied
_____ Neutral
_____ Dissatisfied
_____Very Dissatisfied
3. Based on the knowledge/skill you require to do your job, how would you change this course?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
COURSE CONTENT
1. Rate the course in terms of meeting the stated objectives.
_____ Very Satisfied
_____ Satisfied
_____ Neutral
_____ Dissatisfied
_____Very Dissatisfied
2. Rate the course content (e.g., relevancy, structure, level of detail).
____ Very Satisfied
_____ Satisfied
_____ Neutral
_____ Dissatisfied
_____Very Dissatisfied
3. Rate the participative activities (e.g., assignments, seminar topics).
_____ Very Satisfied
_____ Satisfied
_____ Neutral
_____ Dissatisfied
_____Very Dissatisfied
4. Rate the course materials (e.g., lecture notes).
_____ Very Satisfied
_____ Satisfied
_____ Neutral
_____ Dissatisfied
_____Very Dissatisfied
5. What topics did you like best? Why? _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
6. What topics did you like least? Why? _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
7. Course content comments: _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
INSTRUCTION
1. Rate the instructor’s subject knowledge.
_____ Very Good
_____ Good
_____ Barely Acceptable
_____ Poor
_____Very Poor
2. Rate the instructor’s effectiveness (e.g., question handling, presentation, and ability to explain ideas).
_____ Very Good
_____ Good
_____ Barely Acceptable
_____ Poor
_____Very Poor
3. Instruction comments: _____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Thank you for your comments.
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