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Pre-License Education
Course Evaluation
Provider Name
Course Name
*
Instructor Name
*
Date
*
Date Format: 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
*
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