Form 1 NIHTC Training Evaluation- Meeting Facilitation

NIHTC Training Evaluation - Meeting Facilitation

ID: 139

Thank you for participating in a recent training at the NIH Training Center.  We appreciate your support.  

Please take a few minutes to share your feedback about the training and your overall experience with us.

Rest assured, your input is confidential and will help ensure that we continue to provide a "5-star" experience to the NIH community.  

OMB#: 0925-0648 ExpDate: 3/31/18
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Course Information

ID: 2

1) Session Title*

( ) Leadership Meeting

( ) Media Training

( ) Strategic Planning

( ) Teambuilding Activity

( ) Other - Write In

ID: 251

2) Please provide the name of the session

_________________________________________________

ID: 103

3) Start Date: Enter using the Calendar Tool to the right of the text box. (mm/dd/yyyy)*

_________________________________________________

ID: 237

4) Your IC/Office

( ) CC

( ) CIT

( ) CSR

( ) FIC

( ) NCATS

( ) NCCIH

( ) NCI

( ) NCRR

( ) NEI

( ) NHGRI

( ) NHLBI

( ) NIA

( ) NIAAA

( ) NIAID

( ) NIAMS

( ) NIBIB

( ) NICHD

( ) NIDA

( ) NIDCD

( ) NIDCR

( ) NIDDK

( ) NIEHS

( ) NIGMS

( ) NIMH

( ) NIMHD

( ) NINDS

( ) NINR

( ) NLM

( ) OD

( ) OHR

( ) ORF

( ) ORS

ID: 184

5) Facilitator's Name (You may type multiple names, if applicable.)

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Course Rating

ID: 208

Please select the star rating that corresponds to your experience: 1 star = poor, 2 stars = fair, 3 stars = average, 4 stars = good, 5 stars = excellent

How would you rate us on the following?

	Star Rating
Session meeting my expectations.	_________________________________________________

ID: 250

Your expectations were not fully met, please tell us why:

____________________________________________

____________________________________________

____________________________________________

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Facilitator Ratings

ID: 242

​Please select the star rating that corresponds to your experience:1 star = poor, 2 stars = fair, 3 stars = average, 4 stars = good, 5 stars = excellent

How would you rate the facilitator on the following?

	Star Rating
Facilitator keeping the group focused.	_________________________________________________
Facilitator keeping the group engaged.	_________________________________________________

ID: 217

You rated the facilitator below 4 stars in keeping the group focused, please tell us why:

____________________________________________

____________________________________________

____________________________________________

____________________________________________

ID: 249

You rated the facilitator below 4 stars in keeping the group engaged, please tell us why:

____________________________________________

____________________________________________

____________________________________________

____________________________________________

Pace and Length

ID: 240

Please select a response for the following question: The LENGTH of the session was:

( ) Too Short

( ) About Right

( ) Too Long

ID: 241

Please select a response for the following question: The PACE of the session was:

( ) Too Slow

( ) About Right

( ) Too Fast

ID: 238

Which part of this session do you feel will be MOST useful to you?

____________________________________________

____________________________________________

____________________________________________

____________________________________________

ID: 239

Which part of this session do you feel will be LEAST useful to you?

____________________________________________

____________________________________________

____________________________________________

____________________________________________

Additional Information

ID: 34

Additional comments / suggestions:

____________________________________________

____________________________________________

____________________________________________

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Thank you for your feedback!

ID: 1

Thank you for your feedback!  Our goal is to be a 5 star organization and your response is very important to us. Your response will be used to improve future programs at the NIH Training Center.

If you have additional feedback, please contact the NIH Training Center at [email protected] or 301-496-6211