Community Education Class Feedback

 1. Name of Class:
         
    
 
 2. Date of Class:
         
    
 
 3. Class Location:
         
    
 
 4. Name of Instructor:
         
    
 
 5. Rate how well this class met your needs and expectations:
         





 
 6. Rate the instructors's knowledge in topic area:
         





 
 7. Content was presented in an effective manner:
         





 
 8. Information was relevant and useful:
         





 
 9. The class facilities were comfortable and adequate:
         





 
 10. Rate your overall satisfaction with this class:
         





 
 11. Additional Comments:
         
    
 
 12. How did you hear about this class?
         
 
 
 
 
 
 
 
 
 
 
 13. If other, please explain:
         
    
 
 14. What did you like BEST about this class?
         
    
 
 15. What recommendations do you have for improving this class and/or instructor?
         
    
 
 16. What NEW programs/classes would you like to see offered in the future?
         
    
 
 17. Are you interested in sharing your skills and talents as a Community Education instructor? If yes, please enter your name, email address, phone number, and class idea here:
         
    
 
 18. Gender
         
  Male
  Female
 
 19. Age Group:
         
  Under 18 Years of Age
  Age 19-30
  Age 31-54
  Age 55+
 
 20. Household Yearly Income:
         
  Less than $35,000
  $35,001-$55,000
  $55,001-$75,000
  $75,001 or More
  I choose not to disclose
 
 21. Race:
         
 
 
 
 
 
 22. Would you like to receive email notifications from Itasca Area Community Education? If yes, please list your email address here: