EMS Live @ Nite™ Student Course Evaluation

Inland Northwest Health Services Spokane County EMS

1-888-258-9632 1-509-625-6290

This is a course evaluation designed to provide the program and instructor with your feedback for use in course design and overall program evaluation. It is extremely important for you to complete and return the survey so that we may continue to improve the quality of our courses.

Course Title: Stroke Course Date: January 8, 2008

Instructor: Julie Berdis, RN, CNRN Course Location:

Your years of EMS experience: Hours worked per week in an EMS setting: hours Your age:

Gender: M F Primary Occupation: 1.EMS Provider 2.Other type of health care provider 3.Non-health care occupation

Ethnic Origin: 1.Asian/Pacific Islander 2.Black/African American 3.Caucasian 4.Hispanic 5.Native American/Aleutian

Highest EMS Certification: 1.First Responder 2.EMT–Basic 3.EMT–Intermediate 4.Paramedic 5.Other

Circle the letter that represents your opinion using the following scale:

5 = STRONGLY AGREE 4 = AGREE 3 = NEUTRAL 2 = DISAGREE 1 = STRONGLY DISAGREE

SA A N D SD

A.  Course content was organized and easy to follow 5 4 3 2 1

B.  The knowledge test assessed important course content 5 4 3 2 1

C.  I feel better prepared to respond as a result of this course 5 4 3 2 1

D.  I could easily see the instructor 5 4 3 2 1

E.  I could easily hear the instructor and other students 5 4 3 2 1

F.  The visual aids used in the class were easy to see 5 4 3 2 1

G.  I was able to easily participate in discussion with others 5 4 3 2 1

H.  The Instructor was knowledgeable 5 4 3 2 1

I.  The Instructor encouraged participation 5 4 3 2 1

J.  The Instructor stimulated critical thinking 5 4 3 2 1

K.  The Instructor covered the material at an appropriate pace 5 4 3 2 1

L.  The medical and EMS hosts added to the quality of this course 5 4 3 2 1

M.  Overall, I was satisfied with this course 5 4 3 2 1

How could this course have been improved?

What classes would you like to have in the future?

Other:

Please Mail or FAX the completed form to: Renée Anderson, Inland Northwest Health Services, P. O. Box 469, Spokane, WA 99210;

FAX: 509-232-8344; Phone: 1-866-630-4033