OMB No. 1660-xxxx (Expiration Date: xx/xxxx)
Paperwork Reduction Act Notice Public reporting burden for this form is estimated to be an average of 9 minutes per response. The burden includes the time for reviewing instructions, searching existing data sources, gathering and maintaining the needed data, and completing, reviewing and submitting the form. Although voluntary, you are not required to respond to this collection of information unless a valid OMB control number appears in the upper right corner of this form. Send comments regarding the accuracy of the burden estimate and any suggestions for reducing the burden to: Information Collections Management, Department of Homeland Security, Federal Emergency Management Agency, 500 C St. SW, Washington, DC 20472, Paperwork Reduction Project (1660-0032) NOTE: Please do not send your completed form to the above address. |
|||||
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
|
|
|
|
|
|
|
|
|
|
|
|
|
3. The pre-Conference information and instructions were clear and helpful |
|
|
|
|
|
4. The Conference/Symposium provided adequate opportunities for:
|
|
|
|
|
|
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 |
|
|
|
|
|
Is this the first conference/symposium that you’ve attended? Yes No If No, how many have you attended: 2-4 5+
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 |
|
|||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
|
|
|
|
|
|
|
|
|
|
|
|
||||
Comments on Session/Workshop (please include session name):
|
|||||||||||||||
Part III – Exhibit Hall/Informational Exchange (if applicable)
To what extent do you agree that…
|
Strongly Agree
|
Agree
|
Neutral
|
Disagree
|
Strongly Disagree
|
||||||||||
This session:
|
|
|
|
|
|
||||||||||
|
|
|
|
|
|
||||||||||
New ideas for Exhibit Hall:
|
|||||||||||||||
Suggestions for Exhibit Hall improvements:
|
|||||||||||||||
FEMA FORM 519-0-10 (XX/XXXX)
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | As a chooser, if given the opportunity, would you utilize us as your service provider? |
| Author | RES/ES/ITS PERSONNEL |
| File Modified | 0000-00-00 |
| File Created | 2021-02-01 |