Course Evaluation

Thank you for taking the time to complete the following course evaluation. The information you provide will be used to help us improve the content of our courses and monitor the quality of our programs.

If you prefer you can download a .pdf of the course evaluation and fax it to 303-488-0177.

First name

Last name

Please type in the Program title for the course you are evaluating as well as the speaker(s) name and Session Date.

Program Title:
Speaker(s):
Session Date:

Which of the following best describes your reason for taking this course?

The particular speaker
The topic
Needed the continuing education credit
Required by my employer

Did the difficulty (expertise) level of the course meet your expectations?
	Too Advanced Too Basic As Expected

Would you be interested in a future course on this topic?
	Yes, more advanced Yes, less advanced Yes, more in-depth content No

How long have you been employed in the dental field?
	1-5 Years 6-10 Years 11-15 Years 16-20 Years 21+ Years

What is your practice specialty or job title?
	Business Assistant Office Manager Dental Assistant Dental Hygienist Lab Tech Spouse/Family Dentist - Specialty; please specify Student - Specialty; please specify Other: please specify please specify here:

What is your gender?
	Female Male

When were you born?
	1911-1946 1947-1965 1966-1980 1981-1991

Comments/suggestions: