Lifelong Learning Feedback Form

Lifelong Learning Evaluation

We appreciate your feedback and hope to see you again soon at Mid!
Your Name (optional)

First NameMiddle NameLast Name
Your Age (optional)
Your Sex Assigned at Birth (optional)

MaleFemale
Date Attended*

MonthDayYear
Title of Lifelong Learning Class*
What was the name of the class you attended?
Rate the Lifelong Learning class you attended*

1 being poor and 5 being excellent
Name of Instructor*
Who taught your Lifelong Learning class.
Rate the Lifelong Learning Instructor*

1 being poor and 5 being excellent

Presentation*

	Disagree	Somewhat Disagree	Neutral	Somewhat Agree	Agree	N/A
Instructional goal was clear
Information presented was current, valuable, and useful
Instructor was knowledgeable
Instructor was easily heard
Instructor was enthusiastic
Instructor communicated effectively
Instructor was comfortable answering questions
Instructor controlled group discussion effectively
Instructor encouraged adequate group interaction
Instructor was organized, prepared, and the topic was presented in a systematic manner
Materials/Handouts were of good quality, useful, and clarified the topic
Audio-visual aids were of good quality, useful, and clarified the topic

Organization & Facilities*

	Disagree	Somewhat Disagree	Neutral	Somewhat Agree	Agree	N/A
Website was easy to navigate
Registration process went smoothly
Communications prior to class were clear and informational
Facilities were adequate and clean

Did the day and time of the class you attended work well with your schedule?*

YesNo
What days and times would be ideal for Lifelong Learning classes?
How did you hear about this Lifelong Learning class?*

Mid Michigan College WebsiteSocial MediaFrom a FriendFlyer in Your CommunityNewspaper
What types of classes would you like Mid to offer? (optional)
Please include additional comments if you wish. (optional)
If you would like us to follow up with you regarding your Lifelong Learning experience at Mid, provide a phone number or email address below.
Phone Number (optional)

Area CodePhone Number
Email (optional)
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Lifelong Learning Evaluation