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Request a Program/Event
Submit Course Evaluation
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I Want To…
Request a Program/Event
Submit Course Evaluation
Access Forms
Program Evaluation
Complete the form below to submit an evaluation for a program.
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Date of Program/Event
*
Event Name (if applicable)
RIMS Annual Conference, SouthEast Claims Seminar, etc.
Course/Topic Name (If different from above)
Program Sponsor
Organization hosting or conducting the program.
________________________________________________________________
Please indicate how well the learning objectives were met
Poor
Satisfactory
Good
Very Good
Excellent
If any objectives that were not met, please provide further details
Please indicate if the relevancy of the materials contributed to the learning objectives
Poor
Satisfactory
Good
Very Good
Excellent
Please indicate if the teaching methods were used effectively
Poor
Satisfactory
Good
Very Good
Excellent
Please indicate if the speaker(s) presented the material in an understandable way
Poor
Satisfactory
Good
Very Good
Excellent
Please indicate if the program was an appropriate education level
Poor
Satisfactory
Good
Very Good
Excellent
Please indicate if the speaker(s) used effective time management to cover the learning objectives
Poor
Satisfactory
Good
Very Good
Excellent
Please indicate if the program met your professional education needs
Poor
Satisfactory
Good
Very Good
Excellent
Please indicate if the venue/environment was conducive to learning
Poor
Satisfactory
Good
Very Good
Excellent
Please indicate if any required prerequisites where appropriate and sufficient (Accounting and CPA only)
Poor
Satisfactory
Good
Very Good
Excellent
________________________________________________________________
In what area(s) are you licensed?
Accountant/CPA
Insurance Adjuster
Insurance Agent
Attorney
Nurse
Occupational Therapist
Physical Therapist
Social Worker
Speech & Language Pathology
Other
________________________________________________________________
What did you find most valuable about this program/event?
Suggestions/Recommendations?
Additional Topics of Interest?
________________________________________________________________
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