Form FEMA FORM 95-20 FEMA FORM 95-20 National Fire Academy End-of-Course Evaluation Form

OMB 1660-0032 (Expires 09/30/2010)

Federal Emergency Management Agency/Department of Homeland Security
National Fire Academy End-of-Course Evaluation Form

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DIRECTIONS FOR COMPLETING THIS FORM. Using a pen or pencil, please complete the course evaluation form by completely darkening the
appropriate bubble for each item. Please fill the bubbles in. Do not sign or put your name on the form. All responses are anonymous and will be
reported ONLY in aggregate form.

Part I
Course Evaluation Data
Indicate the course information for this training and complete the bubble grid to indicate the course number for this training.
Course Dates: ___/___/___ to ___/___/___
Course Name: _______________________________________________________________
Course Length: ___2-day
___6-day
___10-day
Course Code:
___ R ___ N ___ F ___W ___ O
Location:___________________________________________________________________
To what extent do you agree with each of the following?
The course…
1. increased my knowledge of this topic
2. allowed enough time to complete assignments
3. was well organized
4. challenged me to learn more about this topic
5. used effective teaching techniques (lecture, AVs, scenarios, Web)
6. had a good balance of individual & group-based techniques
7. helped me clarify my goals and professional expectations
8. provided up-to-date information
9. included useful web/technology resources for the material
10. met my expectations

Course Code Number

1 2 3 4 5 6 7 8 9 0
1 2 3 4 5 6 7 8 9 0
1 2 3 4 5 6 7 8 9 0

Strongly Agree Neutral Disagree
Agree

Strongly Does Not
Disagree Apply

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The printed materials for this course…
1.
2.
3.

were clear and easily readable
supported class discussion
will be a useful reference when I get back on the job

The audiovisual materials for this course…
1.

were of good technical quality

Have you taken other NFA classes?

To what extent did this course REQUIRE you to use…
A lot Some Not at all Does Not Apply

On campus:
Off campus:

___Yes ___No
___Yes ___No

Internet & technology resources
NFIRS data
Federal, local, or State resources
GIS data

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How might this training class be improved and why is improvement needed?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
What was the MOST beneficial aspect of this training class?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
What was the LEAST beneficial aspect of this training class?
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Before taking this class, was this material…
___ completely new to you?
___ somewhat familiar to you?
___ very familiar to you?

How do you access information about NFA classes? (Check all that apply)
___USFA/NFA Web page
___local departments
___ other students
___information at conferences
___Other: (Specify)_____________________________

Would you recommend this course to someone? ___Yes ___No Because…___________________________________________
FEMA FORM 95-20

OMB 1660-0032 (Expires 09/30/2010)

___________________________________________________________________________________________________________

Part II
Course Instructors/Overall Training
As you consider the instructors for this course, for Instructor #1, to what extent do you agree that…
Strongly Agree
Agree

Neutral Disagree

Strongly
Disagree

Does Not
Apply

Instructor 1: Name:_______________________________
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

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 and discussion
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

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Is there particular feedback you have regarding this instructor? (Be as specific as possible)________________________________
________________________________________________________________________________________________________________________
(PLEASE SKIP TO THE “This Training Experience” SECTION BELOW IF THERE WAS ONLY ONE INSTRUCTOR IN THIS COURSE.)

For Instructor #2: To what extent do you agree that…

Strongly
Agree

Agree

Neutral

Disagree

Strongly
Disagree

Does Not
Apply

Instructor 2: Name:__________________________________
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

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 and discussion
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

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Is there particular feedback you have regarding this instructor? (Be as specific as possible)_________________________________
____________________________________________________________________________________________________________
Considering the training OVERALL, to what extent do you agree that…

Strongly
Agree

Agree

Neutral Disagree

Strongly
Disagree

This training experience…
1.
2.
3.
4.
5.
6.
7.
8.
9.

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 preparing for
or responding to an all-hazards and/or terrorist event
is worth recommending to others

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(OFF-CAMPUS STUDENTS, PLEASE SKIP TO PART III ON NEXT PAGE)

Answer each of the following items as they apply to the class you have just completed. Indicate “Does Not Apply” where appropriate.
1.
2.
3.
4.
5.
6.
7.

classroom and learning facilities
LRC
dormitory rooms
student center facilities
dining facilities
course registration and administrative details
workout/weight room facilities

FEMA FORM 95-20

Satisfactory

Unsatisfactory

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Does Not Apply

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OMB 1660-0032 (Expires 09/30/2010)

Part III
Training Benefits
How do you think this course will help you in your job? (Check all that apply and note other ways as needed.)
General

Technical

___gave me material I will use daily
___showed how to increase my efficiency
___will help me use dept. 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 info for continued learning after training is over
___showed how to use public data sources
___showed value of identifying stakeholders
___helped to build/increase my professional network

___provided new “people skills”
___will help me set department goals
___will make me a better manager/leader
___gave skills for interacting with subordinates
___will help with labor negotiations
___taught me to delegate
___gave better idea of politics of department
___showed value of brainstorming
___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 SOPs
___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 & negotiation
___improved my writing skills
___improved my speaking skills

___prepared me for handling haz mat
___gave useful info on toxicology
___gave new info 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/classes
___gave tools to manage training
___will help in developing a marketing plan
___gave me tools for prevention work
___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 presentation skills
___identified goals for public education
___showed ways to develop interagency cooperation
___will help with budget preparation & program justification
___introduced me to coalition building
___provided model public education programs
___will help in adapting for small departments & communities
___showed how to develop risk analysis matrix for
erformance-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

OTHER:_______________________________________

OTHER:______________________________________________

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

Which training delivery modes do you find most helpful as you
consider your training needs? Please rate them in order of your
preferences, starting with #1 as the most preferred, #2 as second
most preferred, etc.

Leadership/Management

___Very likely

___Not sure; can’t say

___Somewhat likely

___Not likely to re-apply

Do you plan to use the ACE (American Council on
Education) credit recommendation associated with this
course?
___Yes

___No

___I can’t say. I don’t know what ACE is.

___Traditional classroom
___Computer-based training (CBT)
___Web-based training (WBT)

___ “Blended learning” (a
combination of classroom
and CBT/WBT)

Which delivery format do you most prefer? And again: Please
rate your preferences #1, #2 and #3.
___Self-paced independent study
___Instructor facilitated (WITHOUT student to student interaction)
___Instructor facilitated (WITH student to student interaction)

What are suggested topics for future NFA training classes? ___________________________________________________________
_____________________________________________________________________________________________________________
Additionalcomments? ___________________________________________________________________________________________
FEMA FORM 95-20

OMB 1660-0032 (Expires 09/30/2010)
______________________________________________________________________________________________________________________________________________

Part IV
Student and Department Demographics
Location: Department/Organization. Please fill in the bubble next to the State where your
Department/Organization is located:
___Alaska
___Alabama
___Arkansas
___Am. Samoa
___Arizona
___California
___Colorado
___Connecticut
___Canal Zone
___District of Columbia

___Delaware
___Florida
___Georgia
___Guam
___Hawaii
___Iowa
___Idaho
___Illinois
___Indiana
___Kansas

___Kentucky
___Louisana
___Massachusetts
___Maryland
___Maine
___Michigan
___Minnesota
___Missouri
___Mississippi
___Montana

(1) Are you attending course as…
__Career

___Other

___Volunteer

(3) Years of experience in
subject area related to course:
___less than 1 year
___1 to 5 years
___6 to 10 years
___more than 10 years

00000
11111
22222
33333
44444
etc. through 9
in boxed area

(4) Population currently served by your organization:
__10,000-24,999
__25,000-49,999
__50,000-99,000
__100,000 or more

(5) Years of formal education:
___less than 9
___AA degree
___HS graduation or equivalency ___Bachelor’s degree
___Some college
___ Master’s degree

(6) Are you a fire instructor in your local jurisdiction?
___yes

___Oregon
___Pennsylvania
___Puerto Rico
___Rhode Island
___South Carolina
___South Dakota
___Tennessee
___Trust Territories
___Texas
___Utah

___Virginia
___Virgin Islands
___Vermont
___Washington
___Wisconsin
___West Virginia
___Wyoming
___Other

(7) What is your present position?

(2) If you know it, please tell us your
FDID#: _______(Bubble grid)

__under 2,500
__2,500-4,999
__5,000-9,999

___North Carolina
___North Dakota
___Nebraska
___New Hampshire
___New Jersey
___New Mexico
___Nevada
___New York
___Ohio
___Oklahoma

___no

__Firefighter
__Driver/Operator
__Specialist/Technician
__Paramedic/EMT
__Sergeant
__Lieutenant
__Captain
__Battalion Chief

__Bureau Chief
__Division Chief
__Deputy Chief
__Assistant Chief
__Chief of Department
__Civilian Employee
__Allied Professional
__Other:____________

(8) What is your primary responsibility?
__Command
__Fire Suppression
__EMS
__Hazardous Materials
__Training/Instruction
__Investigation
__Inspection/Enforcement

__Fire Prevention
__Communications
__Data Processing
__Public Education
__Equipment Maint.
__Admin. Service
__Other:___________

(9) How long have you been in fire and emergency services?
___less than 1 year
___1 to 5 years

___6 to 10 years
___more than 10 years

(10) What percent of your department are volunteer
personnel?
___ none
___ 1-25%
___26-50%

___51-75%
___76-99%
___100%

Please answer the following questions:
(1) Are you: __male
__female

(2) How old were you on your last birthday? 1
2 3 4 5 6 7 8 9 0
(First digit of your age)
__ __ __ __ __ __ __ __ __ __
(Second digit of your age)
__ __ __ __ __ __ __ __ __ __

(3) Please check the ethnicity that best applies to you.
___Hispanic or Latino/Latina
___Not Hispanic or Latino/Latina

FEMA FORM 95-20

(4) Please select one or more of the following?
___American Indian or Alaska Native
___Asian
___Black or African-American
___Native Hawaiian or Pacific Islander
___White