DOOLEYS Health + Fitness Scholarship
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Class Feedback Form
Class Feedback Form
Class type
(Required)
Select class type
Body Pump
Pilates
BoXing
Body Combat
HI Circuit
Zumba
Yoga
Cycle/RPM
X-treme
Core-X
Fit and Well
Senior Pilates
Zumba Gold
Mobility
Instructor
(Required)
Select instructor
Andrea S.
Amy T.
Belinda H.
Cielo G.
Daniel K.
Fran G.
Glynn C.
Joe S.
Jenny L.
Karl P.
Kelly S.
Laura M.
Lucrezia L.
Maureen R.
Melanie H.
Melissa L.
Rosalie W.
Roxana P.
Tanim H.
Tony E.
Wayne H.
Zita O.
Date
(Required)
DD slash MM slash YYYY
Class attendance
(Required)
Did the instructor arrive earlier than the scheduled class time?
(Required)
Yes
No
What time?
(Required)
Did the instructor provide a class introduction?
Yes
No
Score each section from 1 (needs improvement) to 5 (exceeds expectations)
Class design
Taught the class as per the timetable description
1
2
3
4
5
Adapted the class to the needs of the participants?
1
2
3
4
5
Displayed knowledge of exercises – could correct or modify technique (providing regressions and progressions)
1
2
3
4
5
Music selection & volume level are suitable to class
1
2
3
4
5
Additional comments/feedback
Delivery
Can you hear instructor clearly and understand instructions?
1
2
3
4
5
How clearly did the instructor explain each exercise, including its name, setup, and execution?
1
2
3
4
5
How would you rate the instructor's demonstration of correct form/technique, alignment and range of motion?
1
2
3
4
5
Uses different tones of voice (conversational, motivational)
1
2
3
4
5
Delivers the right information, including safety tips and progressions
1
2
3
4
5
Instructor engaged all participants
1
2
3
4
5
How effectively does the instructor synchronise their movements to the music's beat and tempo (music mapping)?
1
2
3
4
5
Additional comments/feedback
Energy
Creates a dynamic environment in which participants are challenged
1
2
3
4
5
Uses motivational and appropriate language?
1
2
3
4
5
Challenges participants to explore advanced options
1
2
3
4
5
Finishes the session on a high note – Members are challenged and satisfied
1
2
3
4
5
Additional comments/feedback
Your overall experience
On a scale of 1 (lowest) to 10 (highest) what would you rate your overall experience?
(Required)
Your rating
1
2
3
4
5
6
7
8
9
10
What did you learn about using verbal cues, and how will this help you build on your existing communication skills and broaden your professional library?
Please provide any additional comments, feedback or suggestions
Your name
(Required)
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