FEEDBACK FORM

SRI RAMACHANDRA FEES COURSE 2017-02-01 Saturday- March 11, 2017

Name: (Optional)

Lectures:
a. Excellent idea b. Not required

Physiology of Normal Swallowing

Not as expected Met my expectations Excellent
Content of the presentation
Depth of presentation
Clarity in presentation
Usefulness of the presentation

Swallowing Disorders in Head & Neck Cancer- Clinical Pathophysiology

Not as expected Met my expectations Excellent
Content of the presentation
Depth of presentation
Clarity in presentation
Usefulness of the presentation

Neurogenic Dysphagia
Not as expected Met my expectations Excellent
Content of the presentation
Depth of presentation
Clarity in presentation
Usefulness of the presentation

PANEL DISCUSSION: FLEXIBLE ENDOSCOPIC EVALUATION OF SWALLOWING- TIPS & TRICKS

Not as expected Met my expectations Excellent
Content of the presentation
Depth of presentation
Clarity in presentation
Usefulness of the presentation

Scoring a FEES Exam

Not as expected Met my expectations Excellent
Content of the presentation
Depth of presentation
Clarity in presentation
Usefulness of the presentation

Swallowing Disorders in Head & Neck Cancer – after Surgery/Chemoradiation

Not as expected Met my expectations Excellent
Content of the presentation
Depth of presentation
Clarity in presentation
Usefulness of the presentation

Nonsurgical Treatment of Dysphagia

Not as expected Met my expectations Excellent
Content of the presentation
Depth of presentation
Clarity in presentation
Usefulness of the presentation
Hands-on FEES Workshop {Please circle}

1. FEES demonstrated / done:

a. Too basic b. Reasonable c. Very educative d. Too complicated

2. Equipments provided:

a. Adequate b. Inadequate

3. Working Environment

a. Ideal b. needs improvement

OVERALL FEEDBACK :

Yes No
Was the program well organised?
Were the topics relevant to you?
Were the questions and discussions handled to your satisfaction?
Was your registration handled smoothly?
Was your pre-conference communication informative and clear?
Was the quality of the food good?
Was the venue comfortable for the conference?
Was the overall hospitality good?
Course Fee

Suggestions:
Please provide your suggestions for future conferences/ workshops, - Topic, number of days, venue or
organizing method