Money Smart for Older Adults Train-the-Trainer Session Feedback Form and Money Smart for Older Adults Participant Evaluation Form

OMB Number: 3170-0024
Expiration Date: 12/31/2015

Session Feedback Form
Money Smart for Older Adults Train-the-Trainer
Thank you for participating in the Money Smart for Older Adults Train-the-Trainer session. To
help us improve future sessions, please complete this form.
1. The information presented today
was clear and easy to understand.

Strongly
Agree

Agree

Neutral

Disagree

Strongly
Disagree

2. I will use the Money Smart for
Older Adults curriculum.

Strongly
Agree

Agree

Neutral

Disagree

Strongly
Disagree

4. How comfortable do you feel teaching
Money Smart for Older Adults after today?
5. The length of the session was:

Comfortable

Moderately
Comfortable

Not Comfortable

Too Long

Just Right

Too Short

6. Would you recommend this Money
Smart for Older Adults train-the-trainer
session?
7. (Webinar only) Did you experience any
technical difficulties?

Yes

No

Yes

No

N/A

Yes

No

N/A

7a. If Yes, please briefly explain:

8. The handouts were useful.

9. How many people will be reached with Money Smart for Older Adults
from your efforts during the next 12 months? (Enter best estimate):
10. Other
comments or
suggestions (use
reverse side if you
need more space):
___________________________________________________________________________
Paperwork Reduction Act
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not
required to respond to a collection of information unless it displays a valid OMB control number. The OMB control
number for this collection is 3170-0024. The time required to complete this information collection is estimated to
average approximately 2 minutes per response, including the time for reviewing any instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Responding to this collection of information is voluntary. Comments regarding this collection of
information, including the estimated response time, suggestions for improving the usefulness of the information, or
suggestions for reducing the burden to respond to this collection should be submitted to Bureau at the Consumer
Financial Protection Bureau (Attention: PRA Office), 1700 G Street NW, Washington, DC 20552, or by email to
[email protected].

___________________________________________________________________________

OMB Number: 3170-0024
Expiration Date: 12/31/2015

Training date: ENTER DATE

Training city: ENTER CITY

___________________________________________________________________________
Paperwork Reduction Act
According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not
required to respond to a collection of information unless it displays a valid OMB control number. The OMB control
number for this collection is 3170-0024. The time required to complete this information collection is estimated to
average approximately 2 minutes per response, including the time for reviewing any instructions, searching existing
data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Responding to this collection of information is voluntary. Comments regarding this collection of
information, including the estimated response time, suggestions for improving the usefulness of the information, or
suggestions for reducing the burden to respond to this collection should be submitted to Bureau at the Consumer
Financial Protection Bureau (Attention: PRA Office), 1700 G Street NW, Washington, DC 20552, or by email to
[email protected].

___________________________________________________________________________