Feedback Card

Congratulations on completing your Open Water Diver course! Please take a moment and let us know how it went for you. We'd really like to know how your instructors and the dive facilities performed for you, because our goal is to enhance the quality of the referral process.

Please send my feedback to (indicate the agency with whom you did your classroom and pool training):

 
 
 
   
 
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Referral Information

Diver Name
Phone
Date of Referral
Agency

 

Resort Name
Resort Location
Referral Instructor Name
Referral Instructor Number

 

Dealer Name
Dealer Location
Initiating Instructor Name
Initiating Instructor Number

Results of Referral

After the dives were completed, did you receive a Temporary Certification Card?
Yes
No

What training agency was your classroom and pool training with?

What type of certification did you receive? (Check all that apply)
IDEA
NASDS
NAUI
PADI
PDIC
SSI
YMCA

What was the deepest depth (in feet) you went during training dives?

How many student divers were in the water with one instructor?

Was there an assistant?
Yes
No

How many training dives on scuba did you do per day?

Did the initiating Instructor call the resort and pre-arrange the referral for you?
Yes
No

How would you rate the experience?

Why?

Participating Diving Agencies
 
IDEA   -      NAUI      -      PDIC      -     SSI      -      YMCA