ACLS Initial Survey
Training Center: NPSC
Location: Central Valley Medical
Instructors Name:
*
Kevin Stansbury
Claude Hogle
Daniel Pacheco
Date
*
-
Month
-
Day
Year
Date
Student Name
*
First Name
Last Name
Your Email
*
example@example.com
I decline to take the survey below
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No
How well do you feel you understand the core concepts covered in this course?
Excellent
Good
Fair
Poor
Are there any topics or areas where you still feel uncertain or would like further clarification?
Yes
No
How would you rate the effectiveness of the instructor in delivering course content and facilitating learning?
Excellent
Good
Fair
Poor
The equipment was clean and in good working condition.
Yes
No
Did you find the course structure and organization conducive to your learning
Yes
No
I took this course to obtain professional education credit or continuing education credit.
Yes
No
Anything You Would Like to Share with Us to Help Us Get Better
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