Course Evaluation
3-Month Follow-Up Evaluation: Performance in Practice
• As part of our Performance Improvement Initiative, we would appreciate you evaluating the effectiveness of the educational training course you attended at Advanced Health Education Center. We are specifically interested on how the training was incorporated into your practice performance and ultimately improved
patient outcome/care.
• Please complete the following evaluation form.
• Please click the ‘Submit Evaluation’ button at the end of the form to send this form to
us or you may print it and fax it to the number below.
• Fax# 713.772.0155

Course Evaluation

Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Yes
No
If you have a continuing education need at any time, please call us at 713.772.0157 or
800.239.1361. Thank you!
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