ALS1 Course - Candidate Evaluation Survey

20% of survey complete.

Please indicate your rating/assessment of each session according to the content of the material and the presentation of the information, (N/A – not attended/session not conducted). All answers are confidential and no individual’s answers are able to be distinguished.

The scores from these forms are used to provide feedback to the Australian Resuscitation Council and aid towards development of future courses. Your evaluations contribute towards identifying areas of excellence and any improvement needed. Faculty members also receive a summary of the whole course evaluations for their professional development.

Question Title

* 1. Date of course completion

Date of completion of course

Date

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* 2. VENUE - Australian State or Territory

Australian Capital Territory

New South Wales

Northern Territory

Queensland

South Australia

Tasmania

Victoria

Western Australia

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* 3. NAME OF COURSE CENTRE

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* 4. Clinical Profession

Doctor

Nurse

Paramedic

Midwife

Medical Student

Nursing Student

Paramedic Student/Undergraduate

Radiographer

Dentist

ADF Medic

Cardiac Scientist/Technician

Anaesthetic Technician

Other (please specify)

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* 5. Did you receive the following 2 weeks (or more) prior to the course :

	Yes	No
Confirmation of attendance	Confirmation of attendance Yes	Confirmation of attendance No
Manual	Manual Yes	Manual No

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* 6. Please rate the:

	Poor	Adequate	Good	Excellent	N/A
Application Process	Application Process Poor	Application Process Adequate	Application Process Good	Application Process Excellent	Application Process N/A
Payment of Course fees	Payment of Course fees Poor	Payment of Course fees Adequate	Payment of Course fees Good	Payment of Course fees Excellent	Payment of Course fees N/A

Other Administration (please specify)

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* 7. Where is your current residential address

ACT

NSW

QLD

TAS

VIC

Other (please specify)