| * | Day & Time: | *Required | 
			| * | Class | *Required | 
			| * | Instructor | *Required | 
			| * | Gender | *Required | 
| Class Evaluation | 
			| Please score the following areas with a 5,4,3,2, or 1 after the statement. Rating Scale: 5 - Excellent  4 - Good  3 - Average  2 - Needs Improvement  1 - Poor | 
			| Instructor | 
			| * | 1. Is knowledgeable & prepared about course material | *Required | 
			| * | 2. Shows enthusiasm in class | *Required | 
			| * | 3. Demonstrates the ability to motivatation and encourage participation. | *Required | 
			| * | 4. Stresses correct form, posture and safety factors | *Required | 
			| * | 5. Uses proper volume and projection of voice | *Required | 
			| * | 6. Provides “pre-class” instruction (rehearses new moves) | *Required | 
			| * | 7. Teaches and practices basic philosophy of the art | *Required | 
			| * | 8. Explains techniques and skills | *Required | 
			| * | 9. Is courteous and professional | *Required | 
			| 
 | 
			| About the Course | 
			| * | 1. This course met all expectations | *Required | 
			| * | 2. Number of classes per week were adequate | *Required | 
			| * | 3. Class size was appropriate | *Required | 
			| * | 4. Adequate equipment was available | *Required | 
			| * | 5. Class was encouraged to ask questions | *Required | 
			| Survey Questionaire | 
			| Rating as followed: Excellent, Good, Average, Poor  | 
			| * | Overall, how would you rate the Window Rock Wellness Center? | *Required | 
			| * | How was the services at WRWC? | *Required | 
			| * | Overall, how would you rate our customer service representative? | *Required | 
			| * | How satisfied are you with the physical fitness courses we offer. | *Required | 
			| * | What recommendations would you offer for improving our services? | *Required | 
			|  |