Participants would use this form to submit their reactions to a course. Course designers and managers had access to the database containing the information. This form is just a sample and will not submit data.

Thank you for taking a few minutes to tell us what you think about the course you just completed. Your comments will help us provide you with the most effective training and are strictly confidential.
Your Name (optional)
Course Name
Course End Date (mm/dd/yy)
Course Location
Your Job Title

What did you like most about this course?

What did you like least about this course?

What would you do to improve this course?

Please tell us your opinion on each of the following comments based on whether you:
  1. Strongly Disagree
  2. Disagree
  3. Don't Know/Indifferent/Not Applicable
  4. Agree
  5. Strongly Agree
The Course . . .

1

2

3

4

5
was relevant to my job
goals and objectives were clear
goals and objectives were met
content was accurate and current
was well organized
audio/visual materials were excellent
encouraged participation
had enough exercises and practice
had relevant exercises and practice
workbook and reference materials were great

I feel that . . .

1

2

3

4

5
I learned what I needed to learn
I had an enjoyable time learning
I will be able to do a better job now
my expectations were met
I was adequately prepared for this course
my opinion and skills were valued
there was a respect for diversity
would recommend this course

The instructor. . .

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2

3

4

5
knew the subject matter
was prepared to deliver the course
was enthusiastic
encouraged participation
presented the material clearly
provided appropriate feedback
used media appropriately
was an asset to learning
The learning environment. . .

1

2

3

4

5
was conducive to learning
was comfortable
was accessible
had adequate resources

 Additional Comments?

Thank you for your Participation!

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