Evaluation Survey Request

First Name REQUIRED Please fill out this field. Please enter valid data.

Last Name REQUIRED Please fill out this field. Please enter valid data.

Email REQUIRED Please fill out this field. Please enter an email address.

Phone Number REQUIRED

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In what format did you take the course? REQUIRED In-Person, Chancery Victoria Diamond Center, Frelsburg Holy Cross, Yorktown Asynchronous Synchronous Please fill out this field.

Presentation by Instructor Fr. Bob Knippenberg: (1 least satisfied to 5 highly satisfied) REQUIRED 1 2 3 4 5 Please fill out this field.

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PowerPoint Presentation: (1 least satisfied to 5 highly satisfied) REQUIRED 1 2 3 4 5 Please fill out this field.

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Folders/Handouts being used for this course: (1 least satisfied to 5 highly satisfied) REQUIRED 1 2 3 4 5 Please fill out this field.

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What would you say is the greatest benefit you received from attending this course? REQUIRED Please fill out this field.

Any additional comments about the current course, Sacraments of Healing & Vocation? REQUIRED Please fill out this field.