NDEMSA Course Survey
Name
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First Name
Last Name
Email
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Please enter the email you used on your event registration.
What course did you attend?
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Course Date
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Month
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Day
Year
Date
Course Feedback
For rating questions, please use the following scale: 1) Poor; 2) Fair; 3) Neutral; 4) Good; 5) Very Good.
How would you rate the speaker’s ability to retain your attention?
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Poor
1
2
3
4
Very Good
5
1 is Poor, 5 is Very Good
How would you rate the speaker’s delivery of the information?
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Poor
1
2
3
4
Very Good
5
1 is Poor, 5 is Very Good
How would you rate the relevance of the topic to your needs?
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Poor
1
2
3
4
Very Good
5
1 is Poor, 5 is Very Good
How would you rate the quality of the video/audio connection?
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Poor
1
2
3
4
Very Good
5
1 is Poor, 5 is Very Good
Did this training meet your expectations?
*
Yes
No
What were the two most important points in this presentation that you would like to see implemented in your ambulance service or agency?
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