Attachment C4 – Mine Escape participants: Post-Training Questionnaire
Form
Approved
OMB
No. 0920-xxxx Exp.
Date xx/xx/20xx
Public reporting burden of
this collection of information is estimated to average 3 minutes per
response, including the time for reviewing and completing the
collection of information. An agency may not conduct or sponsor, and
a person is not required to respond to a collection of information
unless it displays a currently valid OMB control number. Send
comments regarding this burden estimate or any other aspect of this
collection of information, including suggestions for reducing this
burden to CDC/ATSDR Information Collection Review Office, 1600
Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA
(0920-xxxx).
Place an “X” in the appropriate box. Rate your confidence in the following areas, from “0” (Completely Unconfident) to “100” (Completely Confident) |
Completely Unconfident |
|
|
|
|
|
Completely Confident |
|||||
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
||
|
||||||||||||
How confident are you that your simulation team could, if required, do the following right now in a real mine emergency? |
||||||||||||
4. Make quick and effective decisions. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
5. Agree on solutions to difficult problems encountered. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
6. Readapt team strategy in response to unexpected changes in the environment. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
7. Assist with each other’s responsibilities. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
8. Maintain clear and efficient communication. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
9. Monitor each other’s work to catch mistakes and provide feedback. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
10. Maintain a level of trust and confidence in each other. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
11. Maintain a shared understanding of each other’s responsibilities. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
12. Maintain coordination in performing the tasks at hand. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
13. Consider teammate input before making an action. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
|
||||||||||||
If you worked a different mine escape scenario in the VR simulator right now, how confident are you that your simulation team could work the problem… |
||||||||||||
14. better than in your previous mine evacuation training. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
15. almost perfect with reasonable time. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
16. perfectly with record time. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
|
||||||||||||
How confident are you that your simulation team could complete the following right now without any mistakes? |
||||||||||||
17. A mine evacuation scenario. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
18. A mine evacuation scenario in a virtual environment. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
|
19. Evacuating from a real emergency. |
0 |
10 |
20 |
30 |
40 |
50 |
60 |
70 |
80 |
90 |
100 |
Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | CDC User |
File Modified | 0000-00-00 |
File Created | 2021-01-27 |