Form 1904 A 1904 A End-Of-Course Level 1 Evaluation - Classroom Training

DEPARTMENT OF HOMELAND SECURITY
Transportation Security Administration

OMB Control Number 1652-0041
Expiration Date: 09/30/2015

END-OF-COURSE LEVEL 1 EVALUATION - CLASSROOM TRAINING
INSTRUCTIONS: This evaluation is used to solicit training feedback from TSA trainees. The evaluated feedback will help us
to better understand your impression of the course for improvement purposes. Your responses are encouraged and will be
kept confidential. Submit completed evaluation using the scales, as directed.
Name (Optional):

E-mail (Optional):

Course Title:

Course Code:

Course
Location:
5 = Strongly Agree
4 = Agree
3 = Undecided

Course
Dates:
True all of the time or Yes
True most of the time
Neutral position / no opinion

Total
Course Hours:

thru

2 = Disagree
1 = Strongly Disagree
N/A = Not Applicable

True some of the time
True none of the time or No
Does not apply

If you rated any item 1 or 2, please explain in Section VII - “Any other comments or suggestions?”
SECTION I. Training Benefit

Rating

1.
2.
3.

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My overall knowledge of this subject improved by taking this course.
The training was relevant to my needs.
The training improved the knowledge and/or skills needed to accomplish my job.

SECTION II. Course

Rating

4.
5.
6.
7.
8.
9.
10.
11.

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The course learning/performance objectives were clearly defined.
The course content matched the learning/performance objectives.
The course length was appropriate.
The course materials assisted my learning.
The course kept me engaged and interested in what was being taught.
The course provided opportunities to practice and reinforce what was taught.
I was appropriately challenged by the material.
The practical exercises were good simulations of the tasks that I actually perform on my job.

SECTION III.
Instructor 1:
12. The instructor was prepared for class.
13. The instructor was knowledgeable about course content.
14. The instructor gave ample opportunity for me to get answers to my questions during the class.
15. The instructor’s responses to questions were clear and understandable.
16. The instructor conducted the training in a professional manner.
17. The instructor managed the class appropriately.
18. The instructor encouraged class participation.

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Instructor 2:

Rating

19.
20.
21.
22.
23.
24.
25.

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The instructor was prepared for class.
The instructor was knowledgeable about course content.
The instructor gave ample opportunity for me to get answers to my questions during the class.
The instructor’s responses to questions were clear and understandable.
The instructor conducted the training in a professional manner.
The instructor managed the class appropriately.
The instructor encouraged class participation.

OMB Control Number 1652-0041
Expiration Date: 09/30/2015

Rating

TSA Form 1904A (7/13) rev. [File: 1900.4.1-a] Previous Editions Obsolete
Page 1 of 3

OMB Control Number 1652-0041
Expiration Date: 09/30/2015

Instructor 3:

Rating

26.
27.
28.
29.
30.
31.
32.

Select response
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The instructor was prepared for class.
The instructor was knowledgeable about course content.
The instructor gave ample opportunity for me to get answers to my questions during the class.
The instructor’s responses to questions were clear and understandable.
The instructor conducted the training in a professional manner.
The instructor managed the class appropriately.
The instructor encouraged class participation.

Instructor 4:

Rating

33.
34.
35.
36.
37.
38.
39.

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The instructor was prepared for class.
The instructor was knowledgeable about course content.
The instructor gave ample opportunity for me to get answers to my questions during the class.
The instructor’s responses to questions were clear and understandable.
The instructor conducted the training in a professional manner.
The instructor managed the class appropriately.
The instructor encouraged class participation.

Instructor 5:

Rating

40.
41.
42.
43.
44.
45.
46.

Select response
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The instructor was prepared for class.
The instructor was knowledgeable about course content.
The instructor gave ample opportunity for me to get answers to my questions during the class.
The instructor’s responses to questions were clear and understandable.
The instructor conducted the training in a professional manner.
The instructor managed the class appropriately.
The instructor encouraged class participation.

Instructor 6:

Rating

47.
48.
49.
50.
51.
52.
53.

Select response
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The instructor was prepared for class.
The instructor was knowledgeable about course content.
The instructor gave ample opportunity for me to get answers to my questions during the class.
The instructor’s responses to questions were clear and understandable.
The instructor conducted the training in a professional manner.
The instructor managed the class appropriately.
The instructor encouraged class participation.

SECTION IV. Instructional Environment

Rating

54.
55.
56.
57.
58.

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The training facilities were suitable for learning.
There was adequate accommodation for any special needs.
The residential facilities were comfortable.
I was satisfied with the cafeteria and related facilities.
The training environment was safe.

SECTION V. Testing

Rating

59. The instructions were clear and understandable.
60. The questions were consistent with the course objectives.
61. The questions were clearly written and understandable.

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SECTION VI. Level of Knowledge

Rating

62. What was your level of knowledge prior to taking this course?
63. What was your level of knowledge after taking this course?

Select response
Select response

OMB Control Number 1652-0041
Expiration Date: 09/30/2015

TSA Form 1904A (7/13) rev. [File: 1900.4.1-a] Previous Editions Obsolete
Page 2 of 3

OMB Control Number 1652-0041
Expiration Date: 09/30/2015
SECTION VII. Comments
64. Which parts of the course were most valuable? (Explain)

65. Which parts of the course were least valuable? (Explain)

66. Any other comments or suggestions?

PAPERWORK REDUCTION ACT STATEMENT OF PUBLIC BURDEN: Providing this information is voluntary. TSA will use the information
to improve course curriculum and instruction. It will take no more than one hour to complete this form. 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 control number
assigned to this collection is OMB 1652-0041, which expires on 09/30/2015.

OMB Control Number 1652-0041
Expiration Date: 09/30/2015

TSA Form 1904A (7/13) rev. [File: 1900.4.1-a] Previous Editions Obsolete
Page 3 of 3