APPI - Split Pedal Chair Online Certification Course Feedback & Self-Reflection Form

Name*

Address*

Date*

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 Name*

If you chose 'Other' please enter course date and location below

What interested you most about this course?*

How did you find out about this course?*

How do you prefer to fulfil your educational needs?*

Would you like any information on the following?

Which of APPI's courses might you be interested in learning more about?

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)*

Was evidence provided to substantiae material presented?*

Were the course objectives met?*

Were personal experience and observation the primary source of information?*

Were pre-requisite requirements appropriate (if applicable)*

Was a commercial product promoted?*

If yes, did you feel that product promotion was the sole purpose of the coure?

If no, please write further details below

How did you find the video and sound quality?

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?*

Are there any other online courses or content you would like to see offered by APPI?

Please provide any further comments that may be used to improve the course

Can we use your comments for promotional material?*

APPI – Split Pedal Chair Online Certification Course Feedback & Self-Reflection Form