Full Name:

Email Address:

Driving School You Were Referred By:

Did You Fail any of the Tests? No Yes

If Yes, why do you think you failed?

About how many total hours did it take you to complete?

How would you generally rate our entire program? Excellent Good Average Poor Needs Improvment   Please Explain Your answer :

How would you rate the way the site looks? Excellent Good Average Poor Needs Improvment   Please Explain Your answer :

How would you rate the site's graphics & video? Excellent Good Average Poor Needs Improvment   Please Explain Your answer :

How would you rate your learning experience?  Excellent Good Average Poor Needs Improvment   Please Explain Your answer :

Are you confident you will pass your written test at the DMV? Yes No

If you could change some thing(s) about our program what would they be?

Any additional questions, comments or suggestions: