Feedback Form
We would love to hear from you.  Please tell us what you think about your experience with our company.  You do not have to provide any personal information, so please feel free to be completely honest!

Name:

Company:

Phone:

E-Mail:


Which class did you attend?  (Check all that apply)
First Aid & CPR (Basic & Pediatric)
AED
Bloodborne Pathogens
Healthcare Provider CPR
None

 

Who was your instructor?  (Check all that apply)
Max Konkright
Mike Lowrey
Geoff Gutridge
Heather Gutridge
Camie Konkright

The following questions relate to the quality of instruction that you received. 

Did the instructor arrive on time?
Yes
No
 

Did the instructor act professional?
5 =Best class I have ever had on this topic.
4 =Better than most.
3 =The class was average, nothing special.
2 =It was okay, could have been better
1 = Worst I have ever had
 

How would you rate the delivery of the material (I.e. Hands on & Lecture)?
5 =Best class I have ever had on this topic.
4 =Better than most.
3 =The class was average, nothing special.
2 =It was okay, could have been better
1 = Worst I have ever had

Overall, how would you rate the class?
5 =Best class I have ever had on this topic.
4 =Better than most.
3 =The class was average, nothing special.
2 =It was okay, could have been better
1 = Worst I have ever had

Would you recommend Emergency Training Northwest to your friends and family?
Yes
No


What did you enjoy the most/least about the training you received?


Any additional comments or testimonials you would like to tell us about?








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