Feedback Form
after training
Registration Form for Individuals
Please Fill Feedback Form Below
Full Name:
Email Id:
Profession:
Name of organization:
Date of the Webinar:
1) Please state the level of knowledge & understanding of 'Cardiac Arrest' before attending this seminar?
No knowledge & understanding
Some knowledge & understanding
good knowledge & understanding
Had complete knowledge & understanding
2) Have you witnessed a Heart attack/Cardiac arrest, situation in the past?
Yes
No
Unsure
3) IF YES, What was your observation, of the emergency help being provided to the victim?
Chaos & confusion
Somewhat organised
Fairly well organized
Professional care given
4) Are you now more confident in stepping forward to help in public?
Yes
No
Unsure
5) Do you now think, it is important to have an Automated External Defibrillator (AED) installed in your office/society?
Yes
No
Unsure/Maybe
6) Would you recommend an hour of this seminar to your friends and colleagues?
Yes
No
Unsure/Maybe
7) Would you be interested in learning more on this subject to be a Heart Marshal (first responder without any commitment, for the good of society)?
Yes
No
At a later date
8) How do you rate this seminar in terms of content, information, knowledge & understanding received?
Poor
Satisfactory
Good
Excellent
9) As this was a virtual on-line training, we were not able to arrange a practical demo using a CPR mannequin. How important do you think the physical practice on the CPR Mannequin would be?
Slightly relevant
Required
Important
Absolutely necessary
10) Any suggestions?
Submit
