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
1
2
3
4
5
6
7
8
9
10
11
12
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
00:00
00:30
1:00
1:30
2:00
2:30
3:00
3:30
4:00
4:30
5:00
5:30
6:00
6:30
7:00
7:30
8:00
8:30
9:00
9:30
10:00
10:30
11:00
11:30
12:00
12:30
13:00
13:30
14:00
14:30
15:00
15:30
16:00
16:30
17:00
17:30
18:00
18:30
19:00
19:30
20:00
20:30
21:00
21:30
22:00
22:30
23:00
23:30
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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