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Advanced Fertility Certification Course Feedback Form

Complete the feedback form to receive a $100 discount code to be used on any future course.

"*" indicates required fields

General Information

Name*

First Last

Email*

Course Title*

Date of Completion*

DD slash MM slash YYYY

Lecturing

How would you rate the quality of the lectures?*

Excellent

Good

Average

Poor

Very Poor

How clear and understandable were the lectures?*

Excellent

Good

Average

Poor

Very Poor

Did the lecturer cover the course material effectively?*

Yes

Somewhat

No

Additional comments on lecturing:

Assessments

How would you rate the fairness of the assessments?*

Excellent

Good

Average

Poor

Very Poor

Were the assessments reflective of the course content?*

Yes

Somewhat

No

How manageable was the workload for assessments?*

Very Manageable

Manageable

Neutral

Unmanageable

Very Unmanageable

Additional comments on assessments:

Engagement

How engaging did you find the course material?*

Very Engaging

Engaging

Neutral

Disengaging

Very Disengaging

How effective were the interactive elements (e.g., discussions, group work)?*

Very Effective

Effective

Neutral

Ineffective

Very Ineffective

Did you feel encouraged to participate in the course?*

Yes

Somewhat

No

Additional comments on engagement:

Office Hours and Support

How accessible was Leah during office hours?*

Very Accessible

Accessible

Neutral

Inaccessible

Very Inaccessible

How helpful was the support provided during office hours?*

Very Helpful

Helpful

Neutral

Unhelpful

Very Unhelpful

Additional comments on office hours and support:

Course Duration

How appropriate was the duration of the course?*

Too Long

Just Right

Too Short

Did you feel the course duration allowed for adequate learning?*

Yes

Somewhat

No

Additional comments on course duration:

Delivery Methods

How would you rate the overall delivery methods (e.g., pre-recorded, interactive office hours)?*

Excellent

Good

Average

Poor

Very Poor

How effective was the delivery method in helping you learn the material?*

Very Effective

Effective

Neutral

Ineffective

Very Ineffective

Which delivery method do you prefer and why?*

Pre recorded

Interactive office hours

Hybrid

Other

Additional comments on delivery methods:

Additional Feedback

What did you like most about the course?*

What did you like least about the course?*

Do you have any suggestions for improving the course?*

Any other comments or feedback:

Testimonial: Please complete this section if you're comfortable to provide a testimonial about your experience completing this course. Please this section blank if you are not comfortable.

Future Communication

Alumni Community

Would you be interested in maintaining contact with your fellow alumni through a private app group? If yes, please provide your email address, and mobile number with area code to be added.

Alumni Phone Contact

Face to Face Retreat

Would you be interested in a face to face retreat for the physical training discussed in the lectures and if so do you have a preferred location and time of year for this?

Ongoing Support

I would like to be kept up to date for future office hours opportunities.

Alumni Listing

Leah will have alumni listed on her website for referral purposes. Please complete your details to be included:

Name

Website

Enter your website or social media URL

Phone

Include area code if outside Australia.

Qualifications, Titles

Example: Naturopath, Chiropractor, Midwife, Gynaecologist

Areas of Interest, Expertise

Profile Photo

Accepted file types: jpg, png, gif, Max. file size: 3 MB.

Clinic Logo

Accepted file types: jpg, png, gif, Max. file size: 3 MB.

Dr Leah Hechtman
Suite 8, Level 1
300 Pacific Hwy
Crows Nest NSW 2065
Australia

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Advanced Fertility Certification Course Feedback Form

General Information

Lecturing

Assessments

Engagement

Office Hours and Support

Course Duration

Delivery Methods

Additional Feedback

Future Communication

Alumni Listing

About

Clinic

Learn