Resuscitation Academy Evaluation Form
High Functioning CPR Teams: Bringing Science to the Pit Crew: The Science
Please rate the speaker on the following areas:
Poor Fair Good
Material was clear
Session was well organized
Information was useful to you
Session increased your understanding of how to improve survival from cardiac arrest
What ideas do you have to improve this section of the course?
High Functioning CPR Teams: Bringing Science to the Pit Crew: The Pit Crew
Please rate the speaker on the following areas:
Material was clear
Session was well organized
Information was useful to you
Session increased your understanding of how to improve survival from cardiac arrest
What ideas do you have to improve this section of the course?
Poor Fair Good
Very
Good
Very
Good
Excellent
Excellent
Dealing with Emotional Crisis
Please rate the speaker on the following areas:
Material was clear
Session was well organized
Information was useful to you
Session increased your understanding of how to improve survival from cardiac arrest
What ideas do you have to improve this section of the course?
Other Comments:
Poor Fair Good
Very
Good
Excellent

Resuscitation Academy Evaluation Form
High Functioning CPR Team Demo
Please rate the session on the following areas:
Session was well organized
Information was useful to you
Session increased your understanding of how to improve survival from cardiac arrest
What ideas do you have to improve this section of the course?
Poor Fair Good
Very
Good
Excellent
High Performance CPR Practice Breakout Sessions
Please rate the session on the following areas:
Material was clear
Session was well organized
Information was useful to you
Session increased your understanding of how to improve survival from cardiac arrest
What ideas do you have to improve this section of the course?
Dispatcher Assisted CPR
Please rate the speakers on the following areas:
Material was clear
Session was well organized
Information was useful to you
Session increased your understanding of how to improve survival from cardiac arrest
What ideas do you have to improve this section of the course?
Poor Fair Good
Very
Good
Poor Fair Good
Very
Good
Excellent
Excellent
Other Comments:

Resuscitation Academy Evaluation Form
Community CPR Education
Please rate the session on the following areas:
Poor Fair Good
Material was clear
Session was well organized
Information was useful to you
Session increased your understanding of how to improve survival from cardiac arrest
What ideas do you have to improve this section of the course?
Putting it All Together
Please rate the session on the following areas:
Material was clear
Session was well organized
Information was useful to you
Session increased your understanding of how to improve survival from cardiac arrest
What ideas do you have to improve this section of the course?
Poor Fair Good
Very
Good
Very
Good
Any other presentations you would want included? Any presentations you would like to remove?
Other Comments:
Excellent
Excellent

Resuscitation Academy Evaluation Form
Course Materials Assessment
Please rate the helpfulness of the following course handouts provided (1 being not at all helpful and 5 being very helpful):
Resuscitation Academy Toolkit
 Pit Crew Models
1
1
 High Functioning Cardiac Arrest EMS Agency Checklist 1
High Functioning CPR Team Evaluation 1
2
2
2
2
3
3
3
3
4
4
5
4
High Functioning CPR Time Evaluation
Cardiac Arrest Checklist
1
1
2
2
3
3
4
4
Are there any other materials that you feel should have been included? Can you identify strengths and weaknesses of the current material set?
5
5
5
5
5
5
Other Comments:
Thank you for attending the Resuscitation Academy. We value your feedback and strive to continually improve the quality of our program.