Exhibit #3: Screen Shots of the Online Electronic Form

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National Fire Academy Course Evaluation Form

Exhibit #3: Screen Shots of the Online Electronic Form

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National Fire Academy Course Evaluation Form

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FEMA Form 95-20, JUN 04

Last Reviewed: December 28, 2006
U.S. Fire Administration

U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727
(301) 447-1000 Fax: (301) 447-1346 Admissions Fax: (301) 447-1441

http://166.112.27.14/applications/nfaeval/

9/6/2007

National Fire Academy Course Evaluation Form

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z National Fire Academy Course Evaluation Form

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Completion Instructions
1.

Begin by checking the course dates and title below to make sure this is your course.

2.

Use the green buttons at the bottom of each page to navigate through the form.

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Part 1 of 4 - Course Evaluation Data
Course Dates:
09/10/2007 - 09/21/2007
Course Title:
Fire Inspection Principles
Course Type:
R
Course Code:
R220
To what extent do you agree with each of the following?
1=Strongly disagree, 2=Disagree, 3=Unsure, 4=Agree, 5=Strongly agree, NA=Not Applicable
This Class ...
1
2

3

4

5

NA

increased my knowledge of this topic.





































allowed sufficient time to prepare in and out of class assignments.





































was well organized.





































contained sufficient practical "hands-on" opportunities.





































fostered appropriate "team-building" skills.





































used effective teaching techniques
(lecture, audiovisuals, scenarios, Web).





































provided a balance of individual and group-based teaching techniques.





































helped me clarify my goals and professional expectations.





































provided up-to-date information.





































included useful Web resources for the material.





































met expectations I had from the catalog description.





































To what extent do you agree with each of the following?
1=Strongly disagree, 2=Disagree, 3=Unsure, 4=Agree, 5=Strongly agree, NA=Not Applicable
The printed and audiovisual (AV) materials for this course...
1
2

3

4

5

NA

were clear and easily readable.





































supported class discussion.





































were of good technical quality.





































will be a useful reference when I get back on the job.





































supplemented other teaching aids used in the course (lecture, scenarios,
Web).





































To what extent do you agree with each of the following?
1=Strongly disagree, 2=Disagree, 3=Unsure, 4=Agree, 5=Strongly agree, NA=Not Applicable
The computer resources for this course ...
1
2
(mark NA if not applicable)
were user friendly.

http://166.112.27.14/applications/nfaeval/part1.jsp













3







4







5







NA







9/6/2007

National Fire Academy Course Evaluation Form

Page 2 of 2

were available when I needed them.





































supplemented other teaching aids used in the course (lecture,
audiovisuals, scenarios, Web)





































Before taking this class, was this material ...

-- Please Select --

To what extent did this course require you to use ...
Web and Internet resources

 Some





 A lot





 None





NFIRS data

 Some





 A lot





 None





Federal, local, or state resources

 Some





 A lot





 None





GIS data

 Some





 A lot





 None





How might this class be improved?

Have you taken other NFA classes?
On campus

 Yes





 No





Off campus

 Yes





 No





How do you access information about NFA classes?
(mark all that apply)







printed catalog







other students







information at conferences

Save For Later







World Wide Web







local departments

Continue

The Save for Later button will allow you to save answers already provided and come back to the form at a later time (provided the
evaluation period hasn’t expired) to complete it.
FEMA Form 95-20, JUN 04

Last Reviewed: December 28, 2006
U.S. Fire Administration

U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727
(301) 447-1000 Fax: (301) 447-1346 Admissions Fax: (301) 447-1441

http://166.112.27.14/applications/nfaeval/part1.jsp

9/6/2007

National Fire Academy Course Evaluation Form

Page 1 of 2

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Part 2 of 4 - Course Instructors / Overall Training
Considering the instructors for this course, to what extent do you agree that...
1=Strongly disagree, 2=Disagree, 3=Unsure, 4=Agree, 5=Strongly agree, NA=Not Applicable
Instructor: Edwin Fletcher
1
2

3

4

5

NA

knew the material well.





































regularly clarified course and assignment expectations.





































encouraged independent thinking from students.





































fostered a collaborative "team-based" learning experience.





































supplemented course with helpful experience.





































answered students' questions clearly.





































presented engaging lectures.





































led the learning process without dominating it.





































exhibited a positive attitude toward students.





































conducted the class in a professional manner.





































worked well with co-instructor.





































is worth recommending to others.





































Considering the instructors for this course, to what extent do you agree that...
1=Strongly disagree, 2=Disagree, 3=Unsure, 4=Agree, 5=Strongly agree, NA=Not Applicable
Instructor: Jeannie Vaughn
1
2

3

4

5

NA

knew the material well.





































regularly clarified course and assignment expectations.





































encouraged independent thinking from students.





































fostered a collaborative "team-based" learning experience.





































supplemented course with helpful experience.





































answered students' questions clearly.





































presented engaging lectures.





































led the learning process without dominating it.





































exhibited a positive attitude toward students.





































conducted the class in a professional manner.





































worked well with co-instructor.





































is worth recommending to others.





































Is there particular feedback you have regarding the instructors for
this course?

http://166.112.27.14/applications/nfaeval/part2.jsp

9/6/2007

National Fire Academy Course Evaluation Form

Page 2 of 2

Considering the training overall, to what extent do you agree that this training experience...
1=Strongly disagree, 2=Disagree, 3=Unsure, 4=Agree, 5=Strongly agree, NA=Not Applicable
1
2
3

4

5

NA

will help me do my current job better.





































was consistent with my department's training expectations.





































will be useful for a department the size of mine.





































will be applicable to my future work.





































included material helpful to my department's prevention efforts.





































will help reduce the fire-related risks in my community.





































provided sufficient opportunities for networking.





































provided information my department can use when responding to an allhazards and/or terrorist event.





































is worth recommending to others.





































How satisfied are you with NFA's...
classroom and learning facilities.

 Satisfactory





 Unsatisfactory





 NA





Learning Resource Center (LRC).

 Satisfactory





 Unsatisfactory





 NA





dormitory rooms.

 Satisfactory





 Unsatisfactory





 NA





student center facilities.

 Satisfactory





 Unsatisfactory





 NA





dining facilities.

 Satisfactory





 Unsatisfactory





 NA





course registration and administrative details.

 Satisfactory





 Unsatisfactory





 NA





workout/weight room facilities.

 Satisfactory





 Unsatisfactory





 NA





Save For Later

Back

Continue

The Save for Later button will allow you to save answers already provided and come back to the form at a later time (provided the
evaluation period hasn’t expired) to complete it.
FEMA Form 95-20, JUN 04

Last Reviewed: December 28, 2006
U.S. Fire Administration

U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727
(301) 447-1000 Fax: (301) 447-1346 Admissions Fax: (301) 447-1441

http://166.112.27.14/applications/nfaeval/part2.jsp

9/6/2007

National Fire Academy Course Evaluation Form

Page 1 of 3

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Part 3 of 4 - Training Benefits
How do you think this course will help you in your job?
(mark all that apply and note other ways as needed)
General







gave me material I will use daily







showed how to increase my efficiency







will help me use department resources better







gave better idea of Federal, State, local resources







increased my confidence, self-understanding







gave me the big picture, brought me up to speed







gave information for continued learning after training is over







showed value of brainstorming







showed how to use public data sources







showed value of identifying stakeholders







helped to build/increase my professional network

Leadership / Management







provided new people skills







will help me set department goals







will make me a better manager







gave skills for interacting with subordinates







will help with labor negotiations







taught me to delegate







gave better idea of politics of department







identified my leadership style(s)







improved my administrative skills







gave tools for handling departmental conflict







contributed to my marketing skills







will help with writing proposals







increased my ability to see and set task priorities







gave me a vision for my department







contributed to my understanding of professional ethics







showed how to prioritize my work







gave tools to prepare SOP's







showed how to use data (e.g., NFIRS/GIS) for department planning







gave clear idea of organizational culture







gave tools for performance appraisals







gave information on budget preparation and negotiation







improved my writing skills







improved my speaking skills

Technical







prepared me for handling hazmat

http://166.112.27.14/applications/nfaeval/part3.jsp

9/6/2007

National Fire Academy Course Evaluation Form






gave useful information on toxicology







gave new information on product/containers







gave better understanding of regulations







will help with handling chemicals







gave tools for response at "all hazards" or terrorist events







clarified role as training manager







gave tools to design training and/or classes







gave tools to manage training







will help in developing a marketing plan







increased my investigative skills







will help with report writing







gave tools for better court preparation







showed me how to interpret codes







showed me how to inspect alarms







increased my knowledge of health and fire safety issues







increased my knowledge of fire/EMS issues







gave tools to identify risk audiences







gave tools to reach risk audiences







increased my presentational skills







identified goals for public education







showed ways to develop interagency cooperation







will help with budget preparation and program justification







introduced me to coalition building







provided model public education programs







will help in adapting for small departments and communities







showed how to develop risk analysis matrix for performance-based design







showed how to identify community health risks







gave knowledge of managed care health risks







showed the prevention side of EMS







provided information for pre-incident planning







gave tools for scene size-up







will help with EOC/ICS integration at "all hazards" or terrorist events







provided tools for incident documentation

Page 2 of 3

Other

Which training delivery modes do you prefer? (mark all that apply)







Resident







State Weekend Delivery







Regional Delivery







Technology Mediated Distance Education (i.e., web-based learning)







VIP Delivery







Some combination from those above

Which training delivery modes do you find most helpful as you consider your training needs? (mark all that apply)







Self study (CD ROM)







Self study (Internet)







Traditional face-to-face classrooms







Video teleconferencing







Paper-based course download







Other

If Other, please specify:

How likely are you to re-apply to NFA for future training?

http://166.112.27.14/applications/nfaeval/part3.jsp

9/6/2007

National Fire Academy Course Evaluation Form

Page 3 of 3

 Very likely




 Somewhat likely




 Not sure/Can't say




 Not likely to re-apply




Additional comments?

Save For Later

Back

Continue

The Save for Later button will allow you to save answers already provided and come back to the form at a later time (provided the
evaluation period hasn’t expired) to complete it.
FEMA Form 95-20, JUN 04

Last Reviewed: December 28, 2006

http://166.112.27.14/applications/nfaeval/part3.jsp

9/6/2007

National Fire Academy Course Evaluation Form

Page 1 of 2

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Part 4 of 4 - Student and Department Demographics
Department/ Organization location:
Are you attending course as...
Your Fire Department Identification
Number (FDID)
(Fire Department Personnel Only):
Years of experience in subject area related
to course:
Population currently served by your
organization:
Level of formal education:
Are you a fire instructor in your local
jurisdiction?

-- Please Select --

Career
Other












Volunteer







Search for FDID
-- Please Select --- Please Select --- Please Select -





yes







no

-- Please Select --

What is your present position?

If Other, please specify:
-- Please Select --

What is your primary responsibility?
How long have you been in fire and
emergency services?
http://166.112.27.14/applications/nfaeval/part4.jsp

If Other, please specify:
-- Please Select --

9/6/2007

National Fire Academy Course Evaluation Form
What percent of your department are
volunteer personnel?

Page 2 of 2

-- Please Select --

male
 female




 prefer not to answer










Are you:
How old were you on your last birthday?

 Hispanic or Latino/Latina




Please mark the ethnicity that best applies
 Not Hispanic or Latino/Latina




to you:
 Prefer not to answer
 American Indian or Alaska




Native
 Asian




Please select one or more of the following: 
 Black or African American



 Native Hawaiian or Pacific




Islander
 White





Back

Submit Evaluation

The Save for Later button will allow you to save answers already provided and
come back to the form at a later time (provided the evaluation period hasn’t
expired) to complete it.
FEMA Form 95-20, JUN 04

Last Reviewed: December 28, 2006
U.S. Fire Administration

U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727
(301) 447-1000 Fax: (301) 447-1346 Admissions Fax: (301) 447-1441

http://166.112.27.14/applications/nfaeval/part4.jsp

9/6/2007

National Fire Academy Course Evaluation Form

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About USFA

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National Fire Academy Course Evaluation Form

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Thank you for completing the NFA End of Course Evaluation. We
appreciate your feedback
Close Evaluation
FEMA Form 95-20, JUN 04

Last Reviewed: December 28, 2006
U.S. Fire Administration

U.S. Fire Administration, 16825 S. Seton Ave., Emmitsburg, MD 21727
(301) 447-1000 Fax: (301) 447-1346 Admissions Fax: (301) 447-1441

http://166.112.27.14/applications/nfaeval/complete.jsp

9/6/2007


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