RIM® Institute Evaluation FormName of Your RIM Trainer*Select Your InstructorDr. Deb SandellaMichael KlineLotte VesterliKine AashimeApril MooreJennifer SchaeferName of the RIM Program*RIM CertificationGoodbye Hurt & PainOtherQuality of Instruction*123456Instructor’s Teaching Ability*123456Adequacy of Physical Facilities*123456Instructor’s Level of Knowledge and Expertise*123456List some of your “I learned . . .” statements here:*What did you like about the seminar?* What exercises or information did you find most valuable?* What exercises or information did you find least valuable?* How can the seminar be improved?* Would you recommend this seminar to others?*YesNoWhy?* What feedback do you have for the facilitator(s)?* What kind of assistance or follow-up would you like?* What topics or issues would you like addressed in other seminars?* Additional Comments:*OPTIONALPlease write a 2-3 sentence statement about your experience or the value you received that we could use as a testimonial: If you are willing to let us use any statements in your evaluation to promote our seminars, please sign below.Name Date* MM slash DD slash YYYY SignedTitle Organization Δ
