Course Name: _______________________________
Training Location: _________________________
Participant Name (optional): ______________________________________
Job Title: _______________________________________
Years in present position? <1 1-3 3-5 5+
Please circle your response to the items. Rate aspects of the course on a 1 to 5 scale 1 equals "strongly disagree" and 5 equals "strongly agree." 1 represents the lowest and most negative impression on the scale, 3 represents an adequate impression, and 5 represents the highest and most positive impression. Choose N/A if the item is not appropriate or not applicable to this course. Your feedback is sincerely appreciated. Thank you.
NA=Not applicable, 1=Strongly disagree, 2=Disagree, 3=Neither agree/nor disagree, 4=Agree, 5=Strongly agree
COURSE CONTENT (Circle your response to each item.)
|1. I was aware of the prerequisites for this course.||N/A||1||2||3||4||5|
|2. I had the prerequisite knowledge and skills for this course.||N/A||1||2||3||4||5|
|3. I was well informed about the objectives of this course.||N/A||1||2||3||4||5|
|4. This course lived up to my expectations.||N/A||1||2||3||4||5|
|5. The content is relevant to my job.||N/A||1||2||3||4||5|
COURSE DESIGN (Circle your response to each item.)
|6. The course objectives are clear to me.||N/A||1||2||3||4||5|
|7. The course activities stimulated my learning.||N/A||1||2||3||4||5|
|8. Interactive multimedia was essential in the course.||N/A||1||2||3||4||5|
|9. The activities in this course gave me sufficient practice and feedback.||N/A||1||2||3||4||5|
|10. The test(s) in this course were accurate and fair.||N/A||1||2||3||4||5|
|11. The difficulty level of this course is appropriate.||N/A||1||2||3||4||5|
|12. The pace of this course is appropriate.||N/A||1||2||3||4||5|
COURSE INSTRUCTOR (FACILITATOR) (Circle your response to each item.)
|13. The instructor was well prepared.||N/A||1||2||3||4||5|
|14. The instructor was helpful.||N/A||1||2||3||4||5|
COURSE ENVIRONMENT (Circle your response to each item.)
|15. The training facility at this site was comfortable.||N/A||1||2||3||4||5|
|16. The training facility at this site provided everything I needed to learn.||N/A||1||2||3||4||5|
COURSE RESULTS (Circle your response to each item.)
|17. I accomplished the objectives of this course.||N/A||1||2||3||4||5|
|18. I will be able to use what I learned in this course.||N/A||1||2||3||4||5|
SELF-PACED DELIVERY (Circle your response to each item.)
|19. IMM was a good way for me to learn this content.||N/A||1||2||3||4||5|
|20. Video is an important aspect of the course.||N/A||1||2||3||4||5|
21. How would you improve this course? (Check all that apply.)
___Provide better information before course.
___Clarify the course objectives.
___Reduce content covered in course.
___Increase content covered in course.
___Update content covered in course.
___Improve the instructional methods.
___Make course activities more stimulating.
___Improve course organization.
___Make the course less difficult.
___Make the course more difficult.
___Slow down the pace of the course.
___Speed up the pace of the course.
___Allot more time for the course.
___Shorten the time for the course.
___Improve the tests used in the course.
___Add more video to the course.
22.What other improvements would you recommend in this course?
23. What is least valuable about this course?
24. What is most valuable about this course?