E-Learning Course Feedback Form

Course Information

Course Title

Role/Profession

Date Completed

Please indicate your level of agreement with each statement by selecting one of the following options:

Strongly Agree (SA) Agree (A) Neutral (N) Disagree (D) Strongly Disagree (SD)

SA A N D SD

4. Accessibility

The course provided alternative content formats (audio, transcripts, etc.):

6. Recommendation

I would recommend this course to colleagues or other healthcare professionals:

1. What aspects of the course did you find most helpful or valuable?

2. Were there any challenges or difficulties you encountered during the course?

3. Do you have any suggestions to improve the accessibility of the course?

4. Is there anything else you would like to share about your experience with this course?

Would you like to provide your contact information for follow-up or future feedback opportunities?

Yes

If yes, please provide your email address: