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Maine Adult Education Association

Five Town CSD Adult & Community Education

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25 Keelson Drive • Rockport, ME 04856
adulted@fivetowns.net • 236-7800 ext 3274 • Fax: 230-1059
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Evaluation Form

 

 

FIVE TOWN CSD

Adult & Community Education

25 Keelson Drive, Rockport, ME 04856

FAX (207)230-1059

adulted@fivetowns.net    ¯   www.fivetowns.maineadulted.org

 

We are continually trying to improve our program. We want to know what you thought of the Adult Ed class you took and what classes you would like to see in the future. After you complete this form, drop it off, mail or fax it to us. We also appreciate any comments you would like to email directly without using this form.

Thank you for taking time to give us feedback.

 

Course:  ______________________________________________________________

 

Instructor:  ______________________________        Date:  ____________________

 

  1. Did this course meet, exceed, or fail to meet your expectations?  Please explain.

 

 

 

  1. Is there any advice you would like to offer the instructor so that he or she could make the course even better?  If yes, please amplify.

 

 

 

  1. Are there other courses you would like to see offered in the future (give us your phone number and we’ll let you know if we have that in our schedule!)?

 

 

 

  1. Are there any courses that you would like to TEACH in the future? (If yes be sure to give us your NAME AND PHONE NUMBER)

 

 

 

  1. How did you hear about this course?

 

 

 

 

 

    1. Brochure in mail
    2. Picked up brochure at area business
    3. Herald/Gazette (newspaper)
    4. Free Press
    5. Village Soup (online)
    6. Pen Bay Pilot
    7. From a friend
    8. Website
    9. Best Customer Email
    10. Other

 

 

 

 

 

  1. Additional comments?

 

 

 

 

 

 

 

 

 

 

NOTE:  If you would like to be on our “Best Customer” email list to receive updates on forthcoming courses, please PRINT YOUR NAME AND EMAIL LEGIBLY below:

 

NAME__________________________________     EMAIL_________________________________

 

 

We are also on Facebook! To become a fan, go to our web site (fivetowns.maineadulted.org), click on the Like button and get our updates.  

 

 
 
 

© 2017 Five Town CSD Adult & Community Education
25 Keelson Drive • Rockport, ME 04856
adulted@fivetowns.net • 236-7800 ext 3274 • Fax: 230-1059