CATRAC Stop the Bleed Class Evaluation Form

CATRAC Stop the Bleed Class Evaluation Form

Please fill out carefully in order to receive certificate
Student name*

First NameLast Name
Email*
Organization
County of residence*
Zip code of residence*
Gender*
Please Select the Gender you Identify Most With
Select your age range*
Date of training*
Training location*
Instructor*
Second instructor (if applicable)
Have you previously participated in a Stop the Bleed course?*

YesNo
After completing this training, do you feel more confident you could help someone who is severely bleeding?*

Yes, I feel more confident after participating in this training.No, I do not feel confident after participating in this training.No change. I felt confident helping before taking this training.No change. Nothing could make me confident to respond to severe bleeding.
Please answer the following questions about your instructor
Provided instruction and help during my skills practice session.*

YesNo
Answered all of my questions.*

YesNo
Was professional and courteous to the students.*

YesNo
Please answer the following questions about the course content
The course learning objectives were clear.*

YesNo
The overall level of difficulty of the course was:*

Too hardToo easyAppropriate
The content was presented clearly.*

YesNo
The quality of videos and written materials was:*

ExcellentGoodFairPoor
The equipment was clean and in good working condition.*

YesNo
Please answer the following questions about your skill mastery
The course prepared me to successfully pass the skills section.*

YesNo
I am confident I can use the skills the course taught me.*

YesNoUnsure
I will respond in an emergency because of the skills I have learned in this course.*

YesNoNot sure
I took this course to obtain professional credit or continuing education credit.*

YesNo
Optional Questions:
If you previously taken this course via another method, such as in a classroom or online? Which learning method do you prefer and why?
Were there any strengths or weaknesses of the course that you would like to comment on?
What would you like to see in the future courses developed by CATRAC?
Should be Empty:

CATRAC Stop the Bleed Class Evaluation Form

Please answer the following questions about your instructor

Please answer the following questions about the course content

Please answer the following questions about your skill mastery

Optional Questions: