Form FEMA Form 064-0-10 FEMA Form 064-0-10 USFA Conference/Symposium Form

National Fire Academy Course Evaluation Form

4-14-2010 Generic - Conference Overall Evaluation -no timing

USFA Conference/Symposium Form

OMB: 1660-0032

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Federal Emergency Management Agency/Department of Homeland Security

U.S. Fire Administration Conference/Symposium Evaluation


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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 in the bubbles. Do not sign or put your name on the form. All responses are confidential and will be reported ONLY in aggregate form.


Part I – Overall Conference/Symposium Data


To what extent do you agree that…




Strongly

Agree




Agree





Neutral





Disagree





Strongly

Disagree



  1. The Conference/Symposium was:

  • Informative

  • Productive

  • Well organized












  1. The Conference/Symposium format was appropriate.







3. The pre-Conference information and instructions were clear and helpful












4. The Conference/Symposium provided adequate opportunities for:

  • Participation

  • Suggestions

  • Peer networking












5. I plan to share information about the Conference/Symposium with other members of my department/agency.












How?


6. The topics and activities presented at the Conference/Symposium provided me with something new I expect to use













What did you find most useful about the Conference/Symposium?




What did you find least useful?




Suggestions for improvements:




General Comments:




Part II – Session/Workshop Effectiveness







Based on the presentation/workshop listed below, indicate whether…

Presenter(s)/panel was skilled and professional


Session/workshop was informative

Session/workshop was well organized


Session/workshop was useful


Ideas presented will help me do my job better


Not Applicable

Y

N

Y

N

Y

N

Y

N

Y

N































































































































































General Comments on Session/Workshop:



Part III – Exhibit Hall/Informational Exchange


To what extent do you agree that…




Strongly

Agree




Agree





Neutral





Disagree





Strongly

Disagree


This session:

  • Was well organized

  • Had enough time

  • Offered enough variety

  • Showed me new ideas

  • Provided me with something new I expect to use













New ideas for Exhibit Hall:


Suggestions for improvements:


Part IV – Conference/Symposium Demographics


Please indicate all that apply







FESHE:

  • Associate 2-Year School

  • 4-Year School

  • Graduate School

  • State Fire Training Agency

  • National Organization

  • State Organization

  • Metropolitan Fire Department

  • Non-Metropolitan Fire Department

  • Other ___________________

TRADE:

  • State Fire Training Systems

  • Metro Executive Training Officer

  • Other___________________


PARADE:

  • State Fire Marshal Office

  • Metro Fire Department Fire Marshal

  • IFMA Representative

  • Other___________________

EFOP:

  • First Symposium attended

  • Have attended 2-4 Symposiums

  • Have attended 5+ Symposiums




FEMA FORM 064-0-10, <date> 13


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File TitleAs a chooser, if given the opportunity, would you utilize us as your service provider?
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