STATE OF NEVADA
DEPARTMENT OF HUMAN RESOURCES
DIVISION OF PUBLIC AND BEHAVIORAL HEALTH
EMERGENCY MEDICAL SYSTEMS
EMS COURSE EVALUATION
COURSE TITLE
LOCATION
COURSE NUMBER:
DATE
COURSE COORDINATOR
DIRECTIONS: On a scale of 1 (least liked) to 5 (most liked), please circle the number that best indicated your
feelings regarding the following:
1
Relevance to your job
1
2
3
4
5
2
Effectiveness in meeting objectives
1
2
3
4
5
3
Effectiveness of coordinator
1
2
3
4
5
4
Effectiveness of overall instruction
1
2
3
4
5
5
Sufficient discussion during and/or following the presentations
1
2
3
4
5
6
Opportunities to participate
1
2
3
4
5
7
Audio-visual presentations
1
2
3
4
5
8
Organization of course
1
2
3
4
5
9
Your OWN participation
1
2
3
4
5
10 Rate the meeting facilities
1
2
3
4
5
11 What did you like MOST about this course?
12 What did you like LEAST about this course?
13 What changes would you recommend?
14 Any other comments? (Please use reverse side if needed)
Form EMS 5/14