Weights and Measures Division Training Evaluation Survey

Generic Clearance for Program Evaluation Data Collections

0693-0033-WMDTraining eval-template 4-15-11.xlsx

Weights and Measures Division Training Evaluation Survey

OMB: 0693-0033

Document [xlsx]
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Directions: Please indicate your evaluation of each item by circling the appropriate score and











include additional comments where applicable. Use the bottom of the second page if necessary.
























1. Overall Satisfaction




Don't know or Doesn't Apply Disagree > > > > Agree
This session exceeded my expectations:




0 1 2 3 4 5 6
I would recommend this session to others:




0 1 2 3 4 5 6













I liked the following thing best about the seminar. Why?





































I liked the following thing least about the seminar. Why?





































If I were to improve this seminar to make it more effective, I would:


















































2. Satisfaction: Administration & Facility




Don't know or Doesn't Apply Inadequate Poor Acceptable Good Very Good Outstanding
The course registration process was:




0 1 2 3 4 5 6
The class room was conductive to learning




0 1 2 3 4 5 6
(lighting, sound, seating, temperature, equipment, standards):






























3. Satisfaction: Instruction




Don't know or Doesn't Apply Inadequate Poor Acceptable Good Very Good Outstanding
Instructor __________ (skill, knowledge, delivery):




0 1 2 3 4 5 6
Instructor __________ (skill, knowledge, delivery):




0 1 2 3 4 5 6
The length and the pace of the seminar were:




0 1 2 3 4 5 6


























Note: Please circle '0' for those that do not apply




Don't know or Doesn't Apply Disagree > > > > Agree
to this course:




The technical content was relevant and applicable to my work:




0 1 2 3 4 5 6
The instructional level of difficulty was appropriate for me:




0 1 2 3 4 5 6
Audio/visual presentations (lectures & demonstrations)




0 1 2 3 4 5 6
contributed to my learning:




Discussions, demonstrations, application exercises,




0 1 2 3 4 5 6
question/answer time, and homework contributed to my




learning:




The seminar handouts & materials contributed to my learning:




0 1 2 3 4 5 6
The field trip/hands on training contributed to my learning:




0 1 2 3 4 5 6


























4. Learning




No Knowledge Somewhat Familiar Familiar Very Familiar Very Familiar/Able to implement and share examples Expert
My understanding of this topic prior to attendance was at




0 1 2 3 4 5
this level:




I think my current understandng of this topic at the end of




0 1 2 3 4 5
the seminar is at this level:

















Please describe 3 things that you learned during this session:































































5. Application











I learned and will apply the following items in the performance of my job


















































May we contact you in 45 days to follow up on the application of these skills?







Yes
No
Contact Information:











6. Needs Assessment











I need the following additional training or courses to improve performance of my responsiblities





































NOTE: This questionnaire contains collection of information requirements subject to the Paperwork Reduction Act (PRA). Notwithstanding any other provisions











of the law, no person is required to respond to, nor shall any person be subject to penalty for failure to comply with, a collection of information subject











to the requirements of the PRA, unless that collection of information displays a currently valid OMB Control Number.  The estimated response time for this











questionnaire is 5 minutes.  The response time includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,











and completing and reviewing the collection of information.  Send comments regarding this estimate or any other aspects of this collection of information,











including suggestions for reducing the length of this questionnaire, to the National Institute of Standards and Technology, Attn., Carol Hockert, [email protected],











301-975-4004. The OMB Control No. is 0693-0033, which expires on 10/31/2012.
























45 Day Follow-Up Questions
























1. If you have applied something, what did you apply and has there been an impact? Please describe.































































2. If you have not applied anything, but intended to do so, what were/are the barriers that have prevented your implementation?











Please explain.






















































































































































































































































































































NOTE: This questionnaire contains collection of information requirements subject to the Paperwork Reduction Act (PRA). Notwithstanding any other provisions











of the law, no person is required to respond to, nor shall any person be subject to penalty for failure to comply with, a collection of information subject











to the requirements of the PRA, unless that collection of information displays a currently valid OMB Control Number.  The estimated response time for this











questionnaire is 5 minutes.  The response time includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed,











and completing and reviewing the collection of information.  Send comments regarding this estimate or any other aspects of this collection of information,











including suggestions for reducing the length of this questionnaire, to the National Institute of Standards and Technology, Attn., Carol Hockert, [email protected],











301-975-4004. The OMB Control No. is 0693-0033, which expires on 10/31/2012.











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