Course Evaluation: Sample 1
(hospital name)
(address)
Date: _____________________
Course Title: NRP Provider Course
Course Objectives
1. Describe the changes in physiology that occur when a baby is born.
2. Name the most important and effective action in neonatal resuscitation.
3. Identify necessary staff and equipment for every birth to ensure readiness for a complete resuscitation.
4. Demonstrate knowledge of neonatal resuscitation by successfully completing the NRP written evaluation.
5. Demonstrate appropriate resuscitation procedures in proper sequence for a compromised newborn.
| 1. Did the course meet the written objectives? |
Yes No |
||||
| Please rate the following with 1=lowest/5=highest.
2. Content was clear and organized. |
1 | 4 | 5 | ||
| 2 | 3 | ||||
| 3. Key speakers were knowledgeable about topic. | 1 | 2 | 3 | 4 | 5 |
| 4. NRP instructor(s) was knowledgeable about topic. | 1 | 2 | 3 | 4 | 5 |
| 5. Materials were applicable to goal of attaining NRP status. | 1 | 2 | 3 | 4 | 5 |
| 6. The text, Megacode scenario, and practice tables were useful. | 1 | 2 | 3 | 4 | 5 |
| 7. The information was useful to your work setting. | 1 | 2 | 3 | 4 | 5 |
| 8. Your personal objectives were met. | 1 | 2 | 3 | 4 | 5 |
| 9. The environment was conducive to learning. | 1 | 2 | 3 | 4 | 5 |
| Please make additional comments about this course. | |||||
Download this form in DOC format
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TECH ONLINE COURSE SURVEY EXAMPLE
1) Please select your course from the list below
(course list removed for example purposes)
2) The following nine questions ask you to evaluate the instructor for this course based on recognized categories of teaching performance. Please rate the performance of your instructor for each of the following items.
3) Please ue the following buttons to answer the next three questions related to online instruction.
4) For me, this course was (select one)
A required course in my major field An elective to fulfull a requirement A free elective outside my major field A required course outside my major field A free elective in my major field Not applicable5) What online help modules did you use on the VT website? (check all that apply)
orientation research and library skills online counseling did not know the help modules were available not applicableClick here to view full example
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Download Health Evaluation Form
Click here to download the full form in PDF format
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Question Sample for Course Evaluation
1) Course Name
2) Why did you choose to take this course?
- Required course
- Fit my interests
- Heard the professor was good
- Fit my schedule
- Other:
3) What is your expected grade in this course?
A
B
C
D
F
4) What is your current grade in school?
- Freshman
- Sophomore
- Junior
- Senior
- Graduate
5) What is your Major area?
6) What is your current G.P.A.?
Please tell us how much you agree or disagree with the following statements.
7) The instructor demonstrated knowledge of course materials.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
The instructor was prepared for class.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
9) The instructor was available outside of class.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
10) The instructor stimulated interest in the course.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
11) The instructor treated students fairly and impartially.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
12) The course description accurately reflected the content of the course.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
13) Expectations were clearly outlined in the syllabus.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
14) Reading assignments were of reasonable length and level.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
15) Exams covered important course materials and content.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
16) Overall, this course has stimulated my interest in this subject.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
17) Do you feel there should be a prerequisite for this course?
Yes
No
18) Would you take another course with this instructor?
Yes
No
19) Please rate your overall satisfaction with this course.
- Strongly Disagree
- Disagree
- Undecided
- Agree
- Strongly Agree
20) What could be done to improve this course?
21) What could be done to improve the instructor’s teaching effectiveness?
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Course & Instructor Evaluation (Feedback Form)
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