Feedback Form


Please take a moment to complete this form before leaving class.

Class Title: Date:

In terms of your skill with computer technology, how do you consider yourself ?

Beginner Intermediate Intermediate/advanced
Advanced user Programmer

How familiar are you with use of the Internet?

I am brand new at this. I am somewhat familiar with it. I use it regularly.

Tell me what you think about this class.

Method of Instruction:
excellent
very good
good
fair
poor
Usability of Materials:
excellent
very good
good
fair
poor

Would you be willing to take another class with this instructor?

How comfortable do you feel with what you have learned in this class?

I have learned enough to get me started. Now I feel I can work on my own.
I feel somewhat comfortable with the program, but I will need more instruction.
I learned a little, but I'm still quite insecure.
This class was a waste of my time.

Please offer comments and suggestions for improvement in the box below:

Tell us how to get in touch with you:

Name    
E-mail   
Please contact me as soon as possible regarding this matter.


Dr. B.
Copyright © 1998 Carolyn O. Burleson, All rights reserved.
Revised: February 22, 2000.