I want to create and facilitate continuing educational courses that are challenging and enriching for all of the participants. So it is extremely helpful to get critical feedback about what you personally think about the course that you attended.

You do not have to complete every box. Just choose the one(s) that you want to give me feedback on. You also do not need to leave me your personal contact information unless you want to, but it is helpful if you leave me some demographic information if you feel that is not to personally identifiable for you.

Above all, please be as honest and thorough as possible, I can take it!


  • This area is optional and I only ask these questions because they can help me understand how to better meet the needs of different subsets of people.

Contact Information

  • This is completely optional and only necessary if you want me to contact you so we can discuss how I can create and facilitate better courses.