Autism Navigator for Classroom Success in PreK to 2nd Grade Feedback Form

We would greatly appreciate your feedback on our Classroom Success Webinar Series.

Date of Attendance

mm/dd/yyyy

Role

What is your job title? For example, teacher, SLP, family member, agency personnel.

Feedback Survey Questions

Question 1- Increase Knowledge

To what extent did this webinar increase your knowledge?

1= Not at all <---------> 6 = Greatly

Question 2- Meet Objectives

To what extent did this webinar meet its intended objectives?

1= Not at all <---------> 6 = Greatly

Question 3- Use what you learned

To what extent will you use what you learned from this webinar?

1= Never <---------> 6 = Always

Question 4- Recommend to others

To what extent will you recommend this webinar to others?

1= Never <---------> 6 = Always

Overall Rating

What is your overall rating of today's webinar?

1 = Poor <--------> 6 = Excellent

What did you like most about this webinar?

Do you have any suggestions to improve this webinar?

Please share any other comments you have.

Send me a copy of my responses