RESIDENT SEMINAR FEEDBACK FORM
Date: __________________________
Topic: ________________________________________________________________
Presenter: _____________________________________
1. What did you enjoy about this session (format, presentation, AV, teaching method, group
participation)?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
2. Were the objectives well defined? Elaborate if needed.
 Yes _________________________________________________________________
 No __________________________________________________________________
3. Did the session meet your learning needs and objectives? Elaborate if needed.
 Yes _________________________________________________________________
 No __________________________________________________________________
4. Suggestions for improvement?
_______________________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
5. Overall effectiveness of the session was:
 Very poor
 Poor
 Acceptable
 Good
 Excellent
6. How much preparation did you do before coming to this session?
 None
 Up to 15 min.
 Up to 30 min.
 Up to 45 min
 Up to 1 hour
 Greater than 1 hour