Feedback Form

Description

Feedback Form

Date____________

Offense__________________________

Please answer the following questions to the best of your ability.

1. What did you like most about the class?
a. lecture
b. group discussion
c. video
d. drug assessment
e. quiz
f. addiction information

Why? _____________________________________________________________________

2. What did you like least about the class?

a. lecture
b. group discussion
c. video
d. drug assessment
e. quiz
f. addiction information

Why? _____________________________________________________________________

3. What is the most important thing you learned in this class?
______________________________________________________________________________
4. Name one thing you will do differently as a result of this class.
______________________________________________________________________________

5. What suggestions would you give to improve this class?
______________________________________________________________________________
6. Did you personally benefit from attending this class? ____________

7. Any other comments to the facilitator?
______________________________________________________________________________