Westberg Webinars General Evaluation Form

Westberg Webinars General Evaluation Form

Westberg Webinars General Evaluation Form

(Revised 2026.05)
Course Information
Webinar Name:
Webinar Name:
Date:

MonthDayYear
Date
Contact Hours:
Date Completed:
Certificate Information
Email used to register for webinar:
Name for certificate:

First NameLast Name
Choose one or more to describe your practice:
If Other, please specify
Credentials:
Mailing Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Course and Instructor Evaluation

Please evaluate:

Rows	Yes	No
Did you gain new knowledge that validates or enhances your professional practice?

If yes, please describe:

Please evaluate:

Rows	Excellent	Good	Fair
The course as a whole was:
The course content will impact/change my practice in some way:
The webinar increased my knowledge of the topic:
The webinar met my expectations:

Other topics I would like to attend:
Comments:
Should be Empty: