Directions: Please indicate your evaluation of each item by circling the appropriate score and |
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include additional comments where applicable. Use the bottom of the second page if necessary. |
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1. Overall Satisfaction |
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Don't know or Doesn't Apply |
Disagree |
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Agree |
This session exceeded my expectations: |
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I would recommend this session to others: |
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I liked the following thing best about the seminar. Why? |
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I liked the following thing least about the seminar. Why? |
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If I were to improve this seminar to make it more effective, I would: |
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2. Satisfaction: Administration & Facility |
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Don't know or Doesn't Apply |
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Outstanding |
The course registration process was: |
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The class room was conductive to learning |
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(lighting, sound, seating, temperature, equipment, standards): |
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3. Satisfaction: Instruction |
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Don't know or Doesn't Apply |
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Outstanding |
Instructor __________ (skill, knowledge, delivery): |
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Instructor __________ (skill, knowledge, delivery): |
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The length and the pace of the seminar were: |
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Note: Please circle '0' for those that do not apply |
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Don't know or Doesn't Apply |
Disagree |
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to this course: |
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The technical content was relevant and applicable to my work: |
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The instructional level of difficulty was appropriate for me: |
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Audio/visual presentations (lectures & demonstrations) |
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contributed to my learning: |
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Discussions, demonstrations, application exercises, |
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question/answer time, and homework contributed to my |
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learning: |
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The seminar handouts & materials contributed to my learning: |
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The field trip/hands on training contributed to my learning: |
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4. Learning |
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No Knowledge |
Somewhat Familiar |
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Very Familiar/Able to implement and share examples |
Expert |
My understanding of this topic prior to attendance was at |
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this level: |
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I think my current understandng of this topic at the end of |
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the seminar is at this level: |
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Please describe 3 things that you learned during this session: |
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5. Application |
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I learned and will apply the following items in the performance of my job |
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May we contact you in 45 days to follow up on the application of these skills? |
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Yes |
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No |
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Contact Information: |
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6. Needs Assessment |
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I need the following additional training or courses to improve performance of my responsiblities |
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NOTE: This questionnaire contains collection of information requirements subject to the Paperwork Reduction Act (PRA). Notwithstanding any other provisions |
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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 |
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to the requirements of the PRA, unless that collection of information displays a currently valid OMB Control Number. The estimated response time for this |
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questionnaire is 5 minutes. The response time includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, |
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and completing and reviewing the collection of information. Send comments regarding this estimate or any other aspects of this collection of information, |
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including suggestions for reducing the length of this questionnaire, to the National Institute of Standards and Technology, Attn., Carol Hockert, [email protected], |
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301-975-4004. The OMB Control No. is 0693-0033, which expires on 10/31/2012. |
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45 Day Follow-Up Questions |
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1. If you have applied something, what did you apply and has there been an impact? Please describe. |
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2. If you have not applied anything, but intended to do so, what were/are the barriers that have prevented your implementation? |
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Please explain. |
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NOTE: This questionnaire contains collection of information requirements subject to the Paperwork Reduction Act (PRA). Notwithstanding any other provisions |
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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 |
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to the requirements of the PRA, unless that collection of information displays a currently valid OMB Control Number. The estimated response time for this |
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questionnaire is 5 minutes. The response time includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, |
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and completing and reviewing the collection of information. Send comments regarding this estimate or any other aspects of this collection of information, |
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including suggestions for reducing the length of this questionnaire, to the National Institute of Standards and Technology, Attn., Carol Hockert, [email protected], |
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301-975-4004. The OMB Control No. is 0693-0033, which expires on 10/31/2012. |
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