Ask the Trainer

How did your training go?

Let us know!
Name (optional)

First NameLast Name
Phone Number
Please enter a valid phone number.
What did you think of the clinic?
E-mail
example@example.com
Will you attend another clinic?

YesNoI'm not sure
Would you like a call to discuss the clinic?

YesNo
Thank you for attending the clinic!

Please take a moment to provide some feedback on your experience. There is no list of fancy survey questions or generalizations for this one, just a basic box for you to type into and let us know what you thought. (There are only two questions to answer at the end.) As we try to develop a system for the clinics there are going to be things that went well and things that didn’t, so feedback on both is helpful.

You can be anonymous.

I don’t really care if you put your name in the form, but if you want me to contact you after to discuss anything, make sure you do.

Thank you for attending the clinic and remember that only by participating can you help us improve.

Adrian
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