Clinic Feedback Form Clinic Feedback Form If you have attended a clinic please complete a clinic evaluation form. This helps us improve our product and helps anchor the clinic content for you. Date of Clinic* MM slash DD slash YYYY Please enter the Clinic Category**This allows us to track the performance of each category* Indoor Training On-Snow Training Certification Prep Elective Specialty Clinic (Children, Freestyle, etc) Other Clinic Leader Name* What was the purpose of the clinic?*Optional, but preferred for more effective feedback* How likely are you to recommend this clinic to a friend or colleague?*0=Not at all Likely, 10=Extremely Likely012345678910Do you have time to answer a couple more questions?* Yes No Training FeedbackThis section is in regards to the training topic The training content was valuable for my personal teachingDoes Not ApplyStrongly disagreeDisagreeNeutralAgreeStrongly agreeThe training helped improve my skiing/riding skillsDoes Not ApplyStrongly disagreeDisagreeNeutralAgreeStrongly agreeThe clinic was consistent with my expectationsDoes Not ApplyStrongly disagreeDisagreeNeutralAgreeStrongly agree Clinician FeedbackThis section is in regards to the Clinician who led the clinic The clinician was able to work with all experience and ability levels of my groupDoes Not ApplyStrongly disagreeDisagreeNeutralAgreeStrongly agreeThe clinician communicated simply, and had an appropriate depth of knowledgeDoes Not ApplyStrongly disagreeDisagreeNeutralAgreeStrongly agreeThe clinician provided effective demonstrations which helped me achieve my goalsDoes Not ApplyStrongly disagreeDisagreeNeutralAgreeStrongly agreeThe clinician helped participants manage anxieties or other challengesDoes Not ApplyStrongly disagreeDisagreeNeutralAgreeStrongly agreeThe clinician provided useful feedback, appropriate for my needs this dayDoes Not ApplyStrongly disagreeDisagreeNeutralAgreeStrongly agreeDo you have any additional feedback to share?*Use this section if you would like to leave any additional information about your clinic experience.*Would you like to provide your information for a follow-up?*This information is not shared with our clinicians, your reviews are anonymous* Yes No Your Name* First Last Your email*
