Distance Education Survey for Digital Capture

Questions marked with an asterisk (*) are mandatory.
1
Title of Session
2
Date of program viewing
    Month   Day   Year   Time
Date and Time
3
Your Name
4
AICP ID (6-digit APA ID #)
5
Did this program meet or exceed your expectations?
Yes
No
6

Presenter Names:

(If your program had only one or two presenters, type N/A in the remaining boxes.)

Presenter One
Presenter Two
Presenter Three
7
The presenter was knowledgeable about program content.
1
Strongly Agree
2
Agree
3
Neutral
4
Disagree
5
Strongly Disagree
N/A
Presenter One
Presenter Two
Presenter Three
8
The presenter delivered the material well.
1
Strongly Agree
2
Agree
3
Neutral
4
Disagree
5
Strongly Disagree
N/A
Presenter One
Presenter Two
Presenter Three
9
This program prepared me to do my job better.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
10
This program introduced me to new ideas or provoked me to think more critically about planning.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
11
This topic and the issues discussed were relevant to my community, now or in the future.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
12
This program presented information that was:
Too Advanced
Advanced
Just Right
Basic
Too Basic
13
Why did you participate in this course? Choose all applicable responses.
CM credit
Topic was of interest
Accessible (distance education, convenient location, other)
Required
Suggested by my employer
Other, please specify
14
List three facts or lessons you learned during this program.
1.
2.
3.

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