Feedback Forms

Send Us Your Feedbacks

Let us know about your feedbacks about the program. This is much helpful for us to fine tune our courses much better while understanding your ideas and comments.

Feedback Form for General Courses

This course evaluation allows you to rate the training program you have completed. This evaluation provides your instructor and training program provider with feedback on the quality of training materials and instruction.

    Class Information

    1. What type of training class (CPR AED, Adult or Pediatric First Aid, BLS, etc.)?

    2. What was the day of the class?

    3. What was the primary instructor’s first and last name or Registry number (listed on the certification card)?

    Class Engagement

    4. Organization, Pace, and Flow
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    5. Not Too Basic, Not Too Complex
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    6. Time Allowed for Skill Practice
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    7. Teaching Effectiveness (knowledge, skill, appearance, behavior, class management)
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    Class Content

    8. Videos
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    9. Class Presentation
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    10. Skill Guide
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    11. Online Training Component (if taken)
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    12. Digital Student Book
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    13. Evaluation (Written Exam, Skill Performance Evaluation)
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    Self-Assessment

    14. How would you rate your emergency care skills BEFORE taking this class?
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    15. How would you rate your emergency care skills AFTER taking this class?
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    16. How willing would you be to respond to an emergency BEFORE taking this class?
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    17. How willing would you be to respond to an emergency AFTER taking this class?
    1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

    18. Comments (what you liked most, what you liked least, etc.)

    19. How willing would you be to respond to an emergency AFTER taking this class?
    YesNo

    20. Email Address (Required if you want us to contact you)

    Feedback Form for Instructors Training

    This IDC course evaluation allows you to rate the training program you have completed. This evaluation provides your Instructor Trainer (IT) and HSI with feedback on the quality of training materials and instruction.

      Class Information

      1. What type of HSI training program do you intend to teach (CPR AED, Adult or Pediatric First Aid, BLS, etc.)?

      2. What was the date(s) of the IDC?

      3. What was the primary Instructor Trainer’s first and last name or registry number?

      4. How was the face-to-face portion of the IDC taught?
      1 - In a traditional classroom setting2 - Remotely using interactive videoconferencing technology3 - Apprenticeship

      Class Engagement

      5. Organization, Pace, and Flow
      1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

      6. Not Too Basic, Not Too Complex
      1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

      7. Time Allowed for Skill Practice
      1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

      8. Teaching Effectiveness (knowledge, skill, appearance, behavior, class management)
      1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

      Class Content

      9. Videos
      1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

      10. Online IDC Training Component
      1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

      11. IDC Class Presentation (Face-to-Face Portion)
      1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

      12. Instructional Skill Performance Evaluation
      1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

      Self-Assessment

      13. How would you rate your emergency care teaching skills BEFORE taking this class?
      1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

      14. How would you rate emergency care teaching skills AFTER taking this class?
      1 - Poor2 - Below Average3 - Average4 - Above Average5 - Excellent

      15. Comments (what you liked most, what you liked least, etc.)

      16. Would you recommend this course to others?
      YesNo

      17. Email Address (Optional, but required if you want us to contact you)