Class Evaluation

Name *

First

Last

Address (Street, City, State and Zipcode) *

Email *

Touch For Health Instructor Name *

Course Date and Location *

Three (3) words to describe your experience of this course are: *

General Impressions of this course:

Selected Value: 10

1="Very Dissatisfied" 10 ="Very Satisfied"

How much impact did this course have on you?

Selected Value: 10

1="None At All" 10="Very Great Impact"

Overall, this course:

Selected Value: 10

1="Did Not Meet My Expectations" 10="Surpassed my Expectations"

How will you recommend this course?

Selected Value: 10

1="Would Not Recommend" 10="Highly Recommend"

Please give your comments on each of the following, including suggestions for improvement:

1) Instructor and teaching methods *

2) Classroom environment *

3) What about the course you liked most *

4) What you liked least *

5) What were the most practical and relevant things you learned *

6) How and when you will use what you learned (be specific) *

7) Additional comments and suggestions

Personal quote or testimonial the instructor may use on their website/marketing: