Feedback Form
Source: https://www.sharjah.ac.ae/en/Services/Departments/Clinical-Surgical-Training-Center/Feedback-Form Parent: https://www.sharjah.ac.ae/en/Services/Departments/Clinical-Surgical-Training-Center
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Feedback
How would you rate your experience with our website?
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Course Name
Course Date
Faculty
Candidate Name
Mobile
Phone
Specialty
Country
Select an option
Hospital Address
Telephone
Email Address
Please state your position in the hospital
Please state the number of years you have been in practice
Please state the number of cases you perform by yourself per year
None
1-20
21-50
50
How would you grade this event
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The Health Economic session was relevant & informative (if applicable)
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
There was enough time to interact with colleagues
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The content was educational enough to help me to improve my practice
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
The presentation was engaging and comprehensive
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Overall, I was satisfied with this event
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Do you have any additional comments on quality of the whole event
Faculty Speaker
Teaching skills
Very Good
Good
Satisfied
Not Satisfied
Ability to teach a reproducible technique
Very Good
Good
Satisfied
Not Satisfied
Ability to discuss how to avoid complications & answer all questions
Very Good
Good
Satisfied
Not Satisfied
Honest on his own experience
Very Good
Good
Satisfied
Not Satisfied
Ability to build a clinical program
Very Good
Good
Satisfied
Not Satisfied
Know–how to easily approach the participants
Very Good
Good
Satisfied
Not Satisfied
Ready to answer all questions and enter into discussion and debate with participants
Very Good
Good
Satisfied
Not Satisfied
Please grade the following. The products I was trained on meets my needs
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
I find a place/procedure where I can apply the products in my practice
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
How would you rate the demo session (if applicable)
Excellent
Good
Average
Below Average
What values do you see this course is adding to your practice
Do you believe you require further information before trying these techniques
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
What type of additional information would you need
Hotel Accommodation (if applicable)
Excellent
Good
Average
Below Average
Group Dinner (if applicable)
Excellent
Good
Average
Below Average
SSI Staff
Excellent
Good
Average
Below Average
What is ONE KEY LEARNING you have taken away from this event
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