CEU/PDA Provider Name: DOANE ONLINE EDUCATION Which acupuncture board(s) do you need a certificate for? NCCAOMCaliforniaFloridaIllinoisNZASAAHPRA, AFPA, BAcCN/A Form Name Course Evaluation Instructor Name Robert Doane Course Date Your Name Your Email Participants License Number Evaluation Date Your evaluation of the course is not graded. Please complete and submit to continue to the end-of-course- assessment. Please rate questions below on a scale of 5 (Excellent) to 1 (Very Poor). Q: Did this course meet my expectations? 12345 Q: Did this program meet its stated goals and objectives? 12345 Q: Was the length of the course adequate to cover the material? 12345 Q: Did the instructor demonstrate adequate knowledge of the subject matter? 12345 Q: Do I feel that I will be able to apply what I learned in this course? 12345 Q: Did the instructor utilize appropriate teaching methods? 12345 Q: Would I recommend this course to other licensed acupuncturists? 12345 Q: How satisfied am I overall with this course? 12345 What new information did you learn? Δ