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CU-QMS-STO-025Capitol University

College of Maritime EducationCagayan de Oro City

Basic Safety Training Survey Questionnaire(Deck/Engine Cadets)

Name:__________________________________ Date: ______________________Name of Training Center: ____________________Duration of Training: _______________________

Evaluation QuestionnaireWe would be grateful if you spend a few minutes completing the questions

detailed below. Information and comments on this form will be treated confidentially.

Please complete the questions by selecting the appropriate rating, adding any comments

your wish.

Thank you for your assistance.

1. Which of the following best describes your reason for taking the course:.

[ ] It was a required course toward a degree program[ ] It was required course to maintain

Credentials/qualifications.

[ ] It had a general interest in the subject.

2. For each of the following, to what degree did the course meet your expectations:

Course Content

Exceeded Met Almost Met Failed toMeet

Classroom facilities

Professor/InstructorMaterials

Meeting the statedcurriculum

3. Please rate your satisfaction with the instructor of this course in each of thefollowing areas:

Knowledge of the subjectVeryGood

Good Satisfactory Fair Poor

Preparation for theclass

Willingness to extendadditional help

Provided a source ofmotivation

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4. Please rate your satisfaction with the materials provided for this course for eachof the following:

Consistent with thecourse objectives

VeryGood

Good Satisfactory Fair Poor

Clear and wellOrganized

Ease of understanding

Appropriate exercisesand examples

5. Please rate your satisfaction with the adequacy and quality of training facilities.

Fire Fighting

VeryGood

Good Satisfactory Fair Poor

Personal survival

Elementary First Aid

Personal Safety

6. How relevant was the course to you?_________________________________________________________________________________________________________________________________________________________________________________________________________

7. What improvements could be to the course?

____________________________________________________________________________________________________________________________________________________________________________________________________________

8. Please add any comments that may help to improve the quality of the training.____________________________________________________________________________________________________________________________________________________________________________________________________________

Thank you for taking the time to complete this survey.

Issue: 05 April06 Revision: 03