Course Feedback Form Name First Last Email Enter Email Confirm Email PhoneInstructors Name: Date of Training Course MM slash DD slash YYYY Name of Course ( Please select from the list below)Advanced Cardiac Life Support (ACLS) RenewalAwareness Level Training in Ballistic and Tactical MedicineAwareness Level Training in Auto ExtricationAdvanced Cardiac Life Support (ACLS)BLS – Basic Life SupportBLS Health Care Professionals Provider Level CCPR Level (A, B, C) & AEDEmergency First Aid with CPR and AEDEpi-Pen Administration with Medical DirectionSemi-Automatic External Defibrillation (S-AED) with Medical DirectionSemi-Automatic External Defibrillation (S-AED) no Medical DirectionStandard First Aid with CPR & AED recertificationNaloxone Administration with Medical DirectionModified Tiered Response Training (M-TRT)Pediatric Advanced Life Support (PALS)Pediatric Advanced Life Support (PALS) RenewalPediatric Emergency Assessment, Recognition, and Stabilization (PEARS)Standard First Aid with CPR and AEDT-CCC (Tactical Casualty Care Course)Tell us about your experience:We would like to know your thoughts. If you could specify areas that you thought were great and areas where you think we can improve. General feedback welcome too!If we have any questions regarding your experience may we contact you? Yes No What is your preferred method of contact? Email Phone Δ
by Caddy