APPI - Equipment Level 3 Course Feedback & Self Reflection - APPI America

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Home » APPI – Equipment Level 3 Course Feedback & Self Reflection

APPI Equipment Level 3 Course Feedback & Self Reflection Form

Please complete the below form in full and click ‘submit’. Once your feedback has been submitted we will email a certificate of completion to you within 2 weeks.

Equipment Level 3 Course Feedback & Self Reflection

Name*
Date*
MM slash DD slash YYYY
Email*
Enter Email Confirm Email
Please confirm your profession (select all that apply)*
If your profession wasn't listed or you have multiple licenses please enter details here
Please enter your license number/s as it is to be shown on your certificate
Course Location & Date*
If you chose 'Other' please enter course date and location below
What interested you most about this course?*
- Program Topic
- Required by Employer
- Continuing Education Credits
- Other
Course Objectives
Please rate your achievement of each objective listed below
1. I could identify when the use of a large Pilates machine would benefit a patient with LBP over matwork
1 = Strongly Disagree 5 = Strongly Agree
- 1
- 2
- 3
- 4
- 5
2. I could identify each of the parts of the different Pilates equipment and what they are used for.
1 = Strongly Disagree 5 = Strongly Agree
- 1
- 2
- 3
- 4
- 5
3. I could confidently practice safely on all the large Pilates equipment.
1 = Strongly Disagree 5 = Strongly Agree
- 1
- 2
- 3
- 4
- 5
4. I could palpate the surface anatomy of the spine, pelvis and hip
1 = Strongly Disagree 5 = Strongly Agree
- 1
- 2
- 3
- 4
- 5
5. Given a particular case, I could choose the best piece of equipment for lumbopelvic stabilization retraining
1 = Strongly Disagree 5 = Strongly Agree
- 1
- 2
- 3
- 4
- 5
6. I could determine 3 exercises that would be contraindicated for an ante or post natal client
1 = Strongly Disagree 5 = Strongly Agree
- 1
- 2
- 3
- 4
- 5
7. I could design a 5 session Pilates program for a patient with a lumbopelvic dysfunction
1 = Strongly Disagree 5 = Strongly Agree
- 1
- 2
- 3
- 4
- 5
How did you find out about this course?*
How do you prefer to fulfill your educational needs?*
Would you like any information on the following?
- Live APPI Courses
- APPI Products/Re seller Opportunities
- Pilates Pro Live
- Hosting/In-House Courses
- APPI Conference
Which of APPI's courses might you be interested in learning more about?
- Select All
- Pilates for Rehabilitation - Matwork
- Reformer/Large Equipment
- Pilates & Osteoporosis
- Ante & Post Natal Pilates
- Pilates & Scoliosis
- Pilates & Shoulder Rehab
- Small Equipment Courses ie Ball, Theraband, Circle, Tube Band
Your course booking and enquiries were handled efficiently (1 = Strongly Disagree 5= Strongly Agree)*
You were provided with sufficient information on course content prior to attending (1 = Strongly Disagree 5= Strongly Agree)*
You feel you achieved each of the learning objectives (1 = Strongly Disagree 5= Strongly Agree)*
The course was easy to follow (1 = Strongly Disagree 5= Strongly Agree)*
The course was appropriate to your education, experience and licensure level (1 = Strongly Disagree 5= Strongly Agree)*
The topic was covered to a good level and depth (1 = Strongly Disagree 5= Strongly Agree)*
The presentation was relevant to your professional activities (1 = Strongly Disagree 5= Strongly Agree)*
The presenter's instructions and teaching ability were to a high standard (1 = Strongly Disagree 5 = Strongly Agree)*
The course manual was informative and comprehensive (1 = Strongly Disagree 5= Strongly Agree)*
Program material is relevant and contributed to achievement of learning objectives (1 = Strongly Disagree 5= Strongly Agree)*
Evidence was provided to substantiate material presented (1 = Strongly Disagree 5= Strongly Agree)*
Were pre-requisite requirements appropriate (if applicable)*
Was the presentation free of commercialism?*
If you answered 'No' to the above please write further details below
What did you particularly like about the course?
Why did you choose this course and what needs did the course address?*
How do you think the information from this course relate to your practice?*
How might the information gained from this course change your behavior in the future?*
Please provide any further comments that may be used to improve the course
Can we use your comments for promotional material?*

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