NCCAOM Evaluation Form

Email(Required)

Please Note: If you are a licensed practitioner and require your license information to be displayed on your certificate

NCCAOM ID (if applicable)

State Acupuncture License Number (if applicable)

State Massage License Number (if applicable)

What type of modality are you a practitioner/student of?(Required)

The content of the program met my expectations.(Required)

The program met its stated goals and objectives.(Required)

The length of the program was adequate to cover the required information.(Required)

The instructors were knowledgeable of the subject matter presented.(Required)

I received an agenda and the instructors kept to the identified time frames.(Required)

The handouts and teaching methods were well presented to impart the program information.(Required)

I will be able to apply what I have learned in my professional life.(Required)

Overall, how satisfied were you with the program presentation?(Required)

What other types of classes are you interested in?

If you enjoyed this class, would you care to provide us with a testimonial?

Please let us know any other thoughts or suggestions you have about this course.

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