Form TSA Form 1904A TSA Form 1904A TSA WPT Level 1 End of Course Evaluation

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TRANSPORTATION SECUR ITY ADM I N ISTRATION
Workforce Performance and Training

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Level 1 End-of-Gourse Evaluation

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Glassroom & Computer-Based Training

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Use a No.2 pencil or black pen only
Make solid marks that fill the circle completely
Do not fold, tear or mutilate this form
The ONLY correct

mark... I

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Course Gode:

Course Title:

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Location:

Class Date:

mo day

yr

/ __
mo

day

yr

Class Start Time:

(inMilitaryTime,e.9., l33Ohrs= l:30PM)

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Please use this scale when rating the following items. Completely fill in the circle corresponding to your response.
Provide any further explanation of your ratings in the Gomments section at the end.

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5
4
3
2

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= Strongly Agree
= Agree
= Can't Decide

= Disagree

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na = Not Applicable I
1 = Strongly Disagree

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means
means
means
means
means
means

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The item is true all of the time, or your response is Yes.
The item is true most of the time.
I am neutral, can't decide, or have no opinion about the item,
The item is true some of the time.
The item is true none of the time, or your response is No.
Does not apply.

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Section 1 - Gourse Evaluation
1. The course content matched the learning objectives.
The course materials were at an appropriate level to understand the learning objectives.

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2.
3,
4.
5.
6.
7,
8,

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course length was sufficient to deliver the content. Too long/too short?
learning aids (e.9., workbooks, handouts, role-playing exercises, PowerPoint slides) assisted my learning.
course design (e.9., materials and learning activities) encouraged my participation in the class.
course provided opportunities to practice and reinforce what was taught.
quiz questions helped me to learn the course information.
The course content was free of biases and prejudices.
The
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9. The instructors were prepared for class,

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10. The instructors were knowledgeable about the technical content of the course materials.
11. The instructors' responses to questions were clear and understandable,
12. The instructors conducted the training in a professional manner,

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- lnstructional Environment

Evaluation

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Section 3

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13. The training facilities were suitable for learning.

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1 4. There was adequate accommodation for any special needs.

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15. The course worked without any technical difficulties16. The course was user friendly (e.9., navigation without difficulty).

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7.
1 8.

The layout of the graphics and text was clear and orderly.
The graphics enhanced key ideas or elements of the course.
19. The text (e.9., font, size and color) was easy to read.

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20. I am experienced with the use of personal computers.

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21. lt was easy to register and begin the CBT learning process.
22. I was given the time and support I needed to complete this CBT course,
23. lt was easy to use this CBT course.

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Section 6 - Training Benefit

24, The training was relevant to improving the knowledge/skills I need to accomplish my job.
25. The practical exercises were good simulations of the tasks that I actually perform on my job.

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Please continue your evaluation on

the back. Thank you.

PAPERWORK REDUCTION ACT STATEMENT: Through this information collection, TSA is gathering information about you to confirm your attendance at TSA’s Crew Member Self Defense Training course. The public burden for this
collection of information is estimated to be five minutes. This is a voluntary collection of information. An agency may not conduct or sponsor, and persons are not required to respond to, a collection of information unless it displays a
currently valid OMB control number. The OMB control number assigned to this collection is 1652-0028, which expires 10/31/2011.

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TSA Form 1904 January 2007

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Glassroom and Computer-Based Training - Side 2

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For Questions

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ONLI use the following scale:

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GA I means I A Great Amount (Expeft)
CA I means I AGonsiderableAmount
S lmeanslSome
VL I means I Very Little
N I meansl None

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Section 7 - Self Assessment

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26. What was your level of knowledge/skills in this training area PRIOR to taking this course?
27, Whal was your level of knowledge/skills in this training area AFTER taking this course?

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means
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means
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means
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I Strongly Agree
I Agree
I Can't Decide
I Disagree
I Strongly Disagree
I Not Applicable

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Section 8 - Test Evaluation

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Note: Complete this section ONLY rT tests were administered.
28. Examination instructions were administered and clearly understandable.
29. Examination questions were consistent with the course information and learning objectives taught,
30. Examination questions were clearly written and understandable.

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Section 9 - Overall Ratings

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31. Overall, I am satisfied with the training course,
32. Overall, I am satisfied with the instructor(s).
33. Overall, I am satisfied with the training environment,

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Section 10

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Comments

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34. Which parts of the course were most valuable? Explain why.

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35. Which parts of the course were least valuable? Explain why.

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36. Any other comments or suggestions?

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SIGNATURE (optional):
NCS PearsonrM

fotmsEM-267542-2:65432'l

GS99

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Printed in U.S.A.

TSA Form 1904A January 2007

PAPERWORK REDUCTION ACT STATEMENT: Through this information collection, TSA is gathering information about you to confirm your attendance at TSA’s Crew Member Self Defense Training course. The public burden for this collection of information is estimated to be
five minutes. This is a voluntary collection of information. An agency may not conduct or sponsor, and persons are not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number assigned to this collection
is 1652-0028, which expires 10/31/2011.

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