California Traffic Safety Institute

Information on this form is to be used to determine the quality of the program you have received. You are to receive no input or direction from the traffic school or its agents. Your answers will in no way jeopardize the dismissal of your citation. We're committed to ensuring that you receive a quality educational traffic school program. To that end, your input is needed.

Your Name:

Email Address:

Court Name:

School Name:

Location:

Instructor Name:

Total Class Time:

Hours

Total Students:

Class Date(s):

Quality of Instruction:

Excellent

Good

Fair

Poor

Did class make you more aware of California Traffic Laws?

Yes

Please type your comments here:

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