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
Trainer(s) Name(s)*
Discipline*
Event Title
Group Outcome*
What was the desired outcome for the event participants?
Were you personally successful towards the clinic outcome?*
- Yes
- No
What aspects of the clinic were successful?
What would you like to have more of next time?
What aspects of the clinic could be improved?
Did you receive individual feedback that was helpful toward the clinic outcome?*
- Yes
- No
Takeaways
What were some of your learning takeaways from the event? Please be specific.
Learning Connection*
How did this event connect with previous learning?
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*