RSMD Aesthetics Training by Rebecca Small MD - Evaluation Form March 7, 2026

Evaluation Form
Name:*

First NameLast Name
Date:*

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Date
Please take a moment to complete this evaluation form. Your feedback is essential for improving our training curriculum.
1) Please rate the following on a scale of 0 to 5 (0 Not Observed, 5 - Very Effective)
Overall experience*

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Educational materials (e.g. slides reading materials)*

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Teaches about formulating diagnostic and therapeutic decisions that will be useful in practice*

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Has comprehensive knowledge of field and applies it well to teaching*

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Communicates effectively with patients*

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Has a strong interest in participants education; is available and dedicated to teaching*

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Demonstrates/teaches procedural techniques and skills well*

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Provides a good learning experience*

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Actively involves learner(s)*

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Teaches and supervises in ways that facilitate learning*

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2) How strongly do you agree/disagree with the following statements about today's training (0 Strongly Disagree, 5 - Strongly Agree)
Training improved my procedural skill*

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Training improved my procedural confidence*

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Training improved my ability to identify and manage complications*

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Reading Dr. Small's book prepared me for the hands-on training*

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3) Would you recommend this experience to other providers?*
4) Did this session exceed your expectations?*
5) If no, why not? Please list how this session could be improved
6) My favorite aspect of the training was*
7) After the training, I feel more confident about*
8) Safety zones are useful because*
9) Dr. Small's expertise and training style were most helpful when*
10) One thing that sets this training apart is*
11) Would you be interested in providing botulinum toxin injections in a spa setting now or in the future?*
12) Are you open to being contacted by our team in the future regarding job opportunities in aesthetics?*
Thank you for taking the time to share your feedback. Your responses help us improve our program.
Date of Training Activity: 03/07/2026
Activity: Full-Face Toxin Workshop
Evaluation type: Clinical Educator
For: Rebecca Small, MD
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Evaluation Form

1) Please rate the following on a scale of 0 to 5 (0 Not Observed, 5 - Very Effective)

2) How strongly do you agree/disagree with the following statements about today's training (0 Strongly Disagree, 5 - Strongly Agree)