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Digital Inclusion Course Learning Record and Evaluation

When you attend one of our short 'digital inclusion' courses, ie on basic internet, social networking or eSafety, we would like you to complete this form as a record of your achievement. It also lets you evaluate the course to help us make it better.

The form is very easy to complete - most of the questions have 'radio buttons' or short text boxes for your responses.

We would like you to complete the form at the end of your course.

Your tutor or course facilitator will provide some of the information that you will need to complete the form.

* Please note fields marked with an asterisk are mandatory

Course Title: *

Course Code:

Where are you taking this course? *

Enter the date you are completing this form: (dd/mm/yyyy) *

Your name: *

Your e-mail address:

1. How would you rate the course overall? *

Excellent
Good
Satisfactory
Poor

2. What was your main reason for taking the course? *

It is the next step in my learning (progression)
I intend to become qualified in this subject
Out of interest for the subject
For social reasons
To help my children or support my family
To improve my employment skills
Just for fun!

3. Learning outcomes and record of achievement/progression *

How would you rate your knowledge at the end of the course? For each learning outcome check the appropriate number where: 1 = I have no experience of this 2 = I can partly do this but need help 3 = I can just about do this 4 = I can do this well