MEDICAL TECHNOLOGY BRANCH TRAINING FEEDBACK FORM

MINISTRY OF DEFENCE AND VETERAN AFFAIRS

NAMIBIAN DEFENCE FORCE TRAINING ESTABLISHMENT
VOCATIONAL TRAINING CENTER
MEDICAL TECHNOLOGYBRANCH

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TRAINING FEEDBACK FORM

Name: _______________________ Designation: _______________________

Program Title: _____________________ Date: _____/____/_____
Trainer Name: _______________________ Venue: __________________________

The purpose of this evaluation form is to assess the effectiveness of the course/Training that
you have just attended. Please refer to the ratings below to assist us in your evaluation. We
thank you for your participation

Course Objectives: Rating System1=Very Poor, 10 =Very Good

1 2 3 4 5 6 7 8 9 10
How well has this course met its stated objectives? ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Have the objectives met your personal needs? ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐

1. Course Contents: 1 2 3 4 5 6 7 8 9 10
The subject content/skills applicable to your job ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
skills knowledge gained by attending this program ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
The quality of Contents ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐

2. Facilitator /Trainer 1 2 3 4 5 6 7 8 9 10
Knowledge of Equipment ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Ability to Present views and ideas clearly ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Communication skill ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐

3. Overall Rating 1 2 3 4 5 6 7 8 9 10
How do you rate this course /program/Training ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐

4. Miscellaneous 1 2 3 4 5 6 7 8 9 10
Training Venue ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Course /Program coordination ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐ ☐
Any Other comments/suggestions:

User Signature:_________________________ Trainer Signature:_________________________

For any technical problem, notify Medical Technology Branch immediately.

SN Mupandeni LI Mangundu
Clinical Engineering Biomedical Technician
Office: +264 62 509 4151 Office: +264 62 509 4151
Cell: +264 81 324 1950 Cell: +264 81 277 9999
Simeon.Mupandeni@namdefence.org Lazarus.Mangundu@namdefence.org
jimtau@ymail.com
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