How would you evaluate this course:
1=Poor, 5=Excellent

Would you be interested in taking other
similar courses?
     Yes No

If yes, which of the following topics would you be interested in:
     Using medications safely
     Physical and mental changes that come with aging
     Retirement housing options
     Skills for healthy, successful aging
     Hospice and palliative care
     Advance directives and patients' rights
     Home and car safety
     Skills for family caregivers

How did you find this course:
     Followed a link at another website
     Referred by your doctor/other health care provider
     Referred by a co-sponsor organization
     Found it through an Internet search engine
     Other

Would you recommend this course to others?
     Yes No

Additional Comments:

Optional: