State Program Evaluation
MOTORCYCLE OPERATOR SAFETY EDUCATION PROGRAM EVALUATION
Date
-
Month
-
Day
Year
Date
INSTRUCTIONS:
1. Complete survey
2. Press submit
Location of Class:
*
Please Select
Anderson
Bargersville - Center Grove
Clarksville
Fort Wayne
Indianapolis
Lafayette
Michigan City
Plainfield
Richmond
Schererville
Hartsville ADV
Indy ADV
Bike Used:
*
Please Select
Suzuki TU250
Royal Enfield METEOR 350
Yamaha V Star 250
Honda Rebel 300
HD Street 500
Yamaha MTO3
Yamaha XT250
Can Am Ryker 600
Personal Bike
Type of class:
*
BRC
ERC 2
RCPS
ADV
How did you find out about this course?
*
Why did you take this course? (check all that apply)
*
Learn to ride
Obtain motorcycle endorsement
Improving riding skills
Other
Names of your RiderCoaches
*
Did you take the course using a scooter?
*
Yes
No
The RiderCoachs' classroom presentation was:
Excellent
Good
Fair
Poor
The RiderCoachs' riding skill demonstrations were:
Excellent
Good
Fair
Poor
The classroom content was:
Excellent
Good
Fair
Poor
The riding activities were:
Excellent
Good
Fair
Poor
Rate the effectiveness of the course in preventing persons accidents and injury:
Excellent
Good
Fair
Poor
When did you complete this form?
Start of course
Middle of course
End of course
What would improve the course for future students?
Submit
Provider Name:
Should be Empty: