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* Mandatory Fields

User ID*

Transaction ID*

First Name*

Programme*

E-mail address

Directions: For each of the four items listed below, please provide your rating by selecting a specific number from 1 to 5.

	Poor		Average		Excellent
Relevance of course content to your needs	1	2	3	4	5
Personal gains in terms of new skills, understanding, insight	1	2	3	4	5
Extent to which course met your expectations	1	2	3	4	5
Ease of use of participant materials	1	2	3	4	5
Technical level of the course (i.e. appropriately challenging)	1	2	3	4	5
Your overall rating of the course	1	2	3	4	5

For each of the two items listed below, please check the appropriate box

Amount of material covered was:	too much	too little	just right
Length of course was:	too much	too little	just right

Please state here any comments on the course strengths and weaknesses:

May we include your name and comments about this course in upcoming marketing materials?

Yes

No