Simple Triage and Rapid Treatment (START)

Simple Triage and Rapid Treatment (START)Distance Learning

Student Feedback Form

Instructor’s name: ______Date: ______

1. Age: ______Sex: M F

2.  I have been involved in EMS for ______(please indicate how long)

1. Your certification level:

There are three parts to this training program: the self-study web site, electronic e-mail discussions, and the in-class discussion.

1. The self-study web site was valuable in helping me learn the START triage system.

1. The electronic e-mail discussions were valuable in helping me learn the START triage system.

1. The in-class discussion was valuable in helping me learn the START triage system.

1. Overall the training program was valuable in helping me learn the START triage system.

1. Please circle the number that best describes how you think this program compares to traditional classroom lecture training.

Please write additional comments in the spaces below. Use the back if you want to. We really need your help in making this program work. THANKS!

9.  Please give us your overall impression of the course.

10.  If you were the instructor, what would you do differently? Why? / How?

11.  Which area of START Triage do you feel the least/most comfortable with? Why?

12.  What can we do to improve the course and/or ourselves as instructors?

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