EMS Live @ Nite™ Student Course Evaluation

Inland Northwest Health Services SpokaneCountyEMS

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: Spinal ImmobilizationCourse Date: February 12, 2008

Instructor: Brady Pace 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

SAANDSD

  1. Course content was organized and easy to follow54321
  2. The knowledge test assessed important course content54321
  3. I feel better prepared to respond as a result of this course54321
  4. I could easily see the instructor54321
  5. I could easily hear the instructor and other students54321
  6. The visual aids used in the class were easy to see54321
  7. I was able to easily participate in discussion with others54321
  8. The Instructor was knowledgeable54321
  9. The Instructor encouraged participation54321
  10. The Instructor stimulated critical thinking54321
  11. The Instructor covered the material at an appropriate pace54321
  12. The medical and EMS hosts added to the quality of this course54321
  13. Overall, I was satisfied with this course54321

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