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Community Education Evaluation Form

Thank you for attending a Community Education session. Your feedback is important to us and helps us improve our service delivery. Please complete the following short questionnaire:

"*" indicates required fields

Address*
DD slash MM slash YYYY

Please rate the following statements in relation to AFTER the education session:
I am more confident in my understanding of asthma*
I am more confident in recognising the signs and symptoms of asthma*
I am more confident in the procedure for asthma first aid*
I know how to manage an asthma flare-up*

The presenter...
Displayed a sound knowledge of asthma / COPD*
Responded effectively to audience questions and comments*
I would like to receive future communications from Respiratory Care WA*
I give permission for any comments in this form to be used in future marketing materials*

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36 Ord Street, West Perth, WA 6005

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Respiratory Care WA acknowledges the Traditional Owners and Custodians of Country throughout Australia and their continuing connection to land, waters and community. We pay our respect to them and their cultures, and Elders past, present and emerging.

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