Course Evaluation

Pre-License Education
Course Evaluation

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Provider Name
Course Name*
Instructor Name*
Date*
MM slash DD slash YYYY
1. Information on the provider's website was helpful.*
Strongly disagree Disagree Not Applicable Agree Strongly agree
2. The customer service staff promptly answered my questions.*
Strongly disagree Disagree Not Applicable Agree Strongly agree
3. This course is well prepared.*
Strongly disagree Disagree Not Applicable Agree Strongly agree
4. The course provides clear information about the insurance terms and concepts.*
Strongly disagree Disagree Not Applicable Agree Strongly agree
5. Examples used in the course helped me learn the material.*
Strongly disagree Disagree Not Applicable Agree Strongly agree
6. The course quiz/exam questions were useful to check my knowledge of the material.*
Strongly disagree Disagree Not Applicable Agree Strongly agree
Did you encounter any problems or concerns?
What changes would you suggest?
Student Name*
Student Phone Number*