Capitol Learning Audio Course Evaluation
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= required field
If you'd
prefer to complete a print version of this page,
click here (2-page pdf).
Name of Audio Course *
Question
1 of 15:
Gender
Female Male
Q 2 of 15: Age 20-29
30-39
40-49
50-59
60+
Q 3 of 15:
Years of Congressional Experience
1-5
6-10
11-15
16+
Q 4 of 15: How would you rate this
audio course in terms of its
Q 5 of 15: How would you rate
the Skill Level of this audio course?
Q 6 of 15: Please rate the
instructor:
Comments
Q 7 of 15: Please rate the
overall program
Q 8 of 15:
Will the information presented in this audio course improve your on-the-job effectiveness?
Yes
No
If yes, in what way? If no, what was missing?
Q 9 of 15: What was the most useful aspect of this
audio course?
Q 10 of 15:
What could be improved?
Q 11 of 15:
Additional comments
Q 12 of 15:
What other types of audio courses would interest you?
Q 13 of 15:
Would you be interested in receiving information about customized training for your organization?
Yes
No
If yes, what topics would you be interested in?
Contact name
and phone number:
Q 14 of 15: Where did you hear about this
audio course?
*
Please describe if not on list:
Q 15 of 15: a)
May we use your comments in our
marketing?
Yes
No
b) If yes, may we use your name?
Yes
No
c) May we use your organization's name?
Yes
No
CONTACT
INFORMATION
Your Name: *
Your email address: *
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Mailing Address:
Job Title:
Organization:
Department:
City
State
Zip
Thank you for your evaluation of
this audio course.
Your suggestions and comments will help us
improve future programs.
TheCapitol.Net
PO Box 25706
Alexandria, VA 22313-5706