Form G255-1 STEPP Evaluation

STEPP Evaluation
Welcome

OMB Control No. 0651-0080
Expiration Date: 08/31/2018

Thank you very much for taking a course through the STEPP program. This short
survey is designed to obtain your feedback regarding your experience, and if
necessary, make any improvements to the course. Your voluntary response will be
confidential and data will be analyzed in aggregated form only.
The survey should take no more than 10 minutes to complete. For general
questions regarding the purpose of the survey, contact Edward Landrum
([email protected]). If you encounter any problems with the survey
instrument, contact Michael Easdale ([email protected]).
Thank you in advance for your participation in this important survey.
Please click the Next button to begin.

Under the Paperwork Reduction Act of 1995, persons are not required to respond to a collection of information unless it displays a valid
OMB Control Number. The valid OMB control number of this information collection is 0651-0080. This survey will gather feedback from
applicants who have participated in the STEPP program, whose responses will be gathered and aggregated to determine how best to
improve the STEPP Program course structure. The USPTO estimates that it will take respondents approximately 10 minutes to
complete the survey. This collection of information is voluntary in accordance with E.O. 12862, “Setting Customer Service Standards.”
All responses will remain confidential and are protected under the “Confidential Information Protection and Statistical Efficiency Act of
2002.”

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STEPP Evaluation
Demographics

1. Regarding Course Content Design and Relevance, please rate your level of agreement with the following
statements :
Strongly
Disagree

Neither
Somewhat Disagree or Somewhat
Disagree
Agree
Agree

Strongly
Agree

I understood the learning objectives.
This course was easy to follow.
The was a sufficient amount of time for me to understand the
content.
The information in this course is relevant and applicable to me.

2. Regarding Quality of Instruction and Materials, please rate your level of agreement with the following
statements:
Strongly
Disagree

Neither
Somewhat Disagree or Somewhat
Disagree
Agree
Agree

Strongly
Agree

The knowledge and experience shared by the instructor(s)
enhanced my learning experience.
I was given ample opportunity to discuss and ask questions
about the course material.
The materials aided in my learning.

3. Regarding Course Impact, please rate your level of agreement with the following statements:
Strongly
Disagree

Neither
Somewhat Disagree or Somewhat
Disagree
Agree
Agree

Strongly
Agree

My knowledge and skills increased as a result of this course.
I plan to apply the knowledge and skills learned in this course.
I would recommend this course to someone else.

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4. Please supply your feedback for the following general questions regarding the STEPP Program Course:
What will you do differently in your work because of this course?

What was the best part of this course?

What recommendations do you have for improving this course?

Which topics, if any, related to examination practice and procedure
would you like to see be made available through the STEPP
program?

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STEPP Evaluation
Conclusion

5. Do you have any additional comments regarding the STEPP Program?

Thank you for completing the survey. Clicking the "Done" button below will submit your responses.

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