Form

CPS Instructor Survey
In an effort to continually update and improve the CPS instruction in New York State, please take a moment to provide feedback on your last CPS training, course or class.

Instructor Grading

[1 = Poor; 2 = Weak; 3 = Fair; 4 = Strong; 5= Great]
What type of training did you attend?
What was the date of your event?

- Month - Day Year
Date
Where did you last receive training?

1. CPS Instructor was well prepared *

	1	2	3	4	5
Poor						Great

2. CPS Instructor was organized. *

	1	2	3	4	5
Poor						Great

3. CPS Instructor demonstrated mastery of the topic. *

	1	2	3	4	5
Poor						Great

4. CPS Instructor was respectful and courteous to fellow instructors and attendees. *

	1	2	3	4	5
Poor						Great

5. CPS Instructor had good stage presence exhibiting calmness, confidence and professionalism. *

	1	2	3	4	5
Poor						Great

6. CPS Instructor used effective time management. *

	1	2	3	4	5
Poor						Great

7. CPS Instructor engaged the audience. *

	1	2	3	4	5
Poor						Great

8. CPS Instructor responded effectively to audience questions and comments. *

	1	2	3	4	5
Poor						Great

9. What did you like most about the Instructor? *
10. What areas might you suggest for improvement? *
11. Please provide any specific instructor feedback you may have in the box below.
Should be Empty:

CPS Instructor Survey