Course Evaluation Form

Program Title: Practice Management Toolbox - Part I
Program Instructor: Sandi Smith Leyva
Program Date: October 31, 2017

Please comment on all of the following evaluation points for this program and choose one answer in each row.

1. Were learning objectives met?
Excellent
Good
Average
Fair
Poor

2. Were the course prerequisites appropriate?
Excellent
Good
Average
Fair
Poor

3. Were program materials accurate?
Excellent
Good
Average
Fair
Poor

4. Were the program materials relevant and did they contribute to the achievement of the learning objectives?
Excellent
Good
Average
Fair
Poor

5. Was the time allotted to the learning activity appropriate?
Excellent
Good
Average
Fair
Poor

6. Was the instructor effective?
Excellent
Good
Average
Fair
Poor

7. Were facilities and/or technological equipment appropriate?
Excellent
Good
Average
Fair
Poor

8. Were the handout or advance preparation materials satisfactory?
Excellent
Good
Average
Fair
Poor

9. Were the audio and video materials effective?
Excellent
Good
Average
Fair
Poor

10. What did you find most helpful?

11. What did you find least helpful?

12. How could the program be improved?

13. Suggestions for future topics:

14. May we use your comments for marketing purposes?
Yes
No

15. Participant Name (optional)   

16. Company Name (optional)   

17. Title (optional)   

18. City and State(optional)