NHI | CE Class Survey

Name*

First Last

Phone

Email*

CE Class Date*

CE Class Location*

Your connection(s) to NHI (Check ALL that apply)*

CE Class Attendee
Current Core Program Student
Core Program Graduate
Current ANMT Program Student
ANMT Program Graduate
Current AAS Degree Program Student
AAS Degree Program Graduate

Please select the choice that best matches your response to the following statements

The provided handout was helpful*

1 | Strongly Disagree
2 | Somewhat Disagree
3 | Agree
4 | Somewhat Agree
5 | Strongly Agree

The slide presentation was clear and engaging*

1 | Strongly Disagree
2 | Somewhat Disagree
3 | Agree
4 | Somewhat Agree
5 | Strongly Agree

The class content was as expected*

1 | Strongly Disagree
2 | Somewhat Disagree
3 | Agree
4 | Somewhat Agree
5 | Strongly Agree

The academic material was clearly presented*

1 | Strongly Disagree
2 | Somewhat Disagree
3 | Agree
4 | Somewhat Agree
5 | Strongly Agree

The Instructor provided a safe, fun, and interactive learning environment*

1 | Strongly Disagree
2 | Somewhat Disagree
3 | Agree
4 | Somewhat Agree
5 | Strongly Agree

My questions were acknowledged and responded to thoroughly and properly*

1 | Strongly Disagree
2 | Somewhat Disagree
3 | Agree
4 | Somewhat Agree
5 | Strongly Agree

The Manual Therapy demonstration was clear and supportive*

1 | Strongly Disagree
2 | Somewhat Disagree
3 | Agree
4 | Somewhat Agree
5 | Strongly Agree

The Instructor provided adequate coaching to help me feel comfortable and confident with the Manual Therapy Techniques*

1 | Strongly Disagree
2 | Somewhat Disagree
3 | Agree
4 | Somewhat Agree
5 | Strongly Agree

I would recommend this course to my colleagues/friends*

1 | Strongly Disagree
2 | Somewhat Disagree
3 | Agree
4 | Somewhat Agree
5 | Strongly Agree

Please provide your response to the following items

Share your overall impression of the CE class you just completed*

Why did you decide to take a continuing education workshop with National Holistic Institute?

How will the information from this workshop benefit your practice?

What was the most impactful information learned at this workshop?

What was the most enjoyable component of the workshop?

Tell us about your practice

Website and/or Social Media accounts related to your practice

If we use your responses for for a blog or social media post, we'll link to your website and/or tag you on social!

Type of practice? (spa, therapeutic, rehabilitative, etc.)*

How long have you been in practice?*

Attach Photo(s) related to your recent CE experience

Drop files here or

Accepted file types: jpg, jpeg, png, gif, heic, Max. file size: 20 MB.

Please avoid using filters or cropping the photo(s) too close. If possible, name the photo(s) with the caption that describes the photo(s). If you have a logo, please include that as well. Maximum File Size | 20MB

Keep me informed of future CE opportunities via email*

Yes
No

May we use any photos and/or videos taken of you during the CE class for promotional or marketing purposes?*

Yes
No

Consent*

By checking this box I give National Holistic Institute my full consent to use my feedback and answers provided. I also give permission for my photo(s) and/or video(s) to be used in conjunction with my feedback and answers.

Continuing Education Class Survey

Share your feedback regarding your continuing education class experience at National Holistic Institute!

Please select the choice that best matches your response to the following statements

Please provide your response to the following items

Tell us about your practice