Date:

Instructor:

Student name: (optional if you want this to be an annonymous evaluation.)

Email Address:

Date of Class:

1. Was the instructor on time and professional?
Yes No select
2. How Many people were in the class?

3. What was the approx. size of the training room?

4. Was there more than 1 instructor present?
Yes No select
5. What level of CPR did you take?
Child/Infant Community Adult-Community CPR Pro Just for fun-Non certified
6. How many manikins did the instructor have?
0 They did not use any manikins! 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30+
7. Did you have training on the AED in your training session?
Yes No select
8. Was there a textbook available for each student in your training session?
Yes No select
9. Approx. how many hours did the course last?
1 2 3 4 5 6 7 8 9 10 11+ 0
10. Did the instructor give a test at the end of your training session?
Yes No select
11. Overall, how would you rate this instructor?
Will only take classes from this instructor in the future. Excellent Good Fair Poor Would not take a course from this instructor again! select
12. on a scale of 1-10 with 10 being the best, how would you rate this training session compared to previous training classes?
1 Worst 2 3 4 5 6 7 8 9 10 Best select
13. How did you hear about this training class/instructor?

14. If given the chance would you take classes from this instructor again?
Yes No select
15. Would you recommend this instructor to family/friends?
Yes No select
16. Are there any comments about this instructor or the training session that you would like to make?
Additional comments, if any.