Clinic Evaluation Form

To improve the quality of staff training and lesson product please provide your feedback by completing a clinic evaluation form.

Date of Clinic*
MM slash DD slash YYYY
Clinic Leader(s) Name(s)*
Discipline*
Clinic Title
What was the desired outcome for the clinic?*
Were you personally successful towards the clinic outcome?*
- Yes
- No
What aspects of the clinic were successful?
What aspects of the clinic could be improved?
Did you receive individual feedback that was helpful toward the clinic outcome?*
- Yes
- No
What were some of your takeaways from the clinic? Please be specific.
Will this clinic be useful in your role as an instructor?*
- Yes
- No

Trainer's communication was clear, understandable, and succinct*
Trainer adapted clinic outcome, content, and feedback to individual participants*
Trainer used pacing, group management, and terrain appropriately*
Trainer adequately managed the group's physical safety and emotional needs*
Trainer was professional and managed their own needs and emotions*
Use this space for any additional comments or notes:
Would you like us to follow up with you regarding your feedback or have your evaluation emailed to you?
- Yes, email me my summary or get back to me
- No, let's keep this confidential
Be sure to choose "Yes" so you get credit for this evaluation if it is to be applied toward your mandatory training hours.
Your Name*
First Last
Your email*