UConn Rescue Stop the Bleed Post-Class Survey
Please use this form to provide feedback to UConn Rescue regarding your attendance at a recent Stop the Bleed class.
* Required
General Information
What was the date of the Stop the Bleed course you attended?
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MM
/
DD
/
YYYY
What was your lead instructor's name? (If you cannot remember please put "N/A")
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Your answer
Registration Process
How would you rate the online registration process for your class?
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Worst Possible (Difficult, Time-Consuming, Lacking Details)
1
2
3
4
5
Best Possible (Easiest, Efficient, Thorough, Informative)
What would make the online registration process better?
Your answer
Class Content
Please rate the class content. Consider: Was the material easy to understand? Were the slides professional?
*
Worst Possible
1
2
3
4
5
6
7
8
9
10
Best Possible
Please write any feedback you have about the class overall. If none: write "N/A".
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Your answer
Class Presentation
Please rate the class instructors. Consider: Were they professional? Did they assist in your learning? Were their explanations logical and appropriate to your level?
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Worst Possible
1
2
3
4
5
6
7
8
9
10
Best Possible
Please write any feedback you have about the class instructors. If none: write "N/A".
*
Your answer
Additional Feedback
Would you recommend this class to others?
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Yes
No
Would you be more likely to assist someone in an emergency because of this class?
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Yes
No
Maybe, depends on the situation
Would you be interested in purchasing any bleeding control supplies?
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Yes
No
Maybe, depends on cost
Would you be interested in becoming a Stop the Bleed Instructor?
*
Yes, please email
uconnrescuetraining@gmail.com
No
Please share your motivation for taking this class.
Job requirement
Academic requirement
Knowledge
Interest in medicine
Other:
Please share any additional feedback you have regarding the class.
Your answer
If you had a great class please leave us a review on Facebook!
Thank you so much for choosing UConn Rescue.
We hope to see you in future classes! Contact the UConn Rescue Training Coordinator at
uconnrescuetraining@gmail.com
with any other feedback or questions.
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