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Iowa Plumbing and Mechanical Systems Examining Board

Student Survey for Continuing Education

The Iowa Plumbing & Mechanical Systems Board requires that instructors and courses be evaluated by the students at the end of the course.

Fields marked with a Required field are required.

Student Information
 (#####)
 (###-###-####)

Note: If you supply a valid Email address, a confirmation message
will be sent to the given address.

Instructor Information
 Required field
 Required field
 Required field (#####)
Course Information
 Required field
 Required field (#####)
 Required field
 Required field (mm/dd/yyyy)
  AM  PM
  AM  PM
Survey

Please rate your instructor and course on a scale of "Poor" to "Excellent" in the following categories: Required field

Rate the following: NA Poor Fair Good Excellent
Comments

You may add a comment about the instructor or course.
(1,000 characters maximum):