Your Name:       

Program Information:
Program Name:                        

Program Instructor Name:     

How would you rate your overall experience?   1 = poor 2 = fair 3 = good 4 = very good 5 = excellent Not Applicable

            Please expound on your rating:
           

What did you enjoy most?
           

What were your expectations of the class?
          

       Did the class meet your expectations?      Yes No

Did you find the class to be a fun educational experience?    Yes No

           If so, what did you learn:
          

Is there anything that would have made this a more enjoyable experience?
          

Is there anything you would like to see changed about the program?
          

How would you rate the instructor?    1 = poor 2 = fair 3 = good 4 = very good 5 = excellent Not Applicable

      Please give specific reasons for your rating of the instructor:
     

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