OBGYN Training Event Evaluation - word

Form Approved

OMB No. 0920XXXX

Exp. Date xx/xx/20xx

CDC estimates the average public reporting burden for this collection of information as 5 minutes per survey, including the time for reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information needed, and completing and reviewing 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 D74, Atlanta, Georgia 30333; ATTN: PRA

(0920XXXX).

OBGYN FASD-SBI Event Evaluation

Speaker:___________________________________ Event Date:______________

Event Title: ______________________________________________________________

We’re interested in your thoughts about this FASD training/ presentation.

To what extent do you agree with the following statements? (Select ONE number/response for each.)	Strongly disagree	Disagree	Neutral	Agree	Strongly Agree
The speaker was knowledgeable about the content.	1	2	3	4	5
The speaker explained concepts clearly.	1	2	3	4	5
The presentation was presented in culturally competent, sensitive manner.	1	2	3	4	5
The content related to the learning objectives.	1	2	3	4	5
The content was appropriate for the audience.	1	2	3	4	5
Visual aids, handouts, and other media clarified content.	1	2	3	4	5
This content will be useful to me professionally.	1	2	3	4	5
This training increased my awareness and knowledge of the harmful effects of alcohol on the developing fetus.	1	2	3	4	5
I would attend another presentation on the topic.	1	2	3	4	5
I would recommend this presentation to others.	1	2	3	4	5
Overall, the training met or exceeded my expectations.	1	2	3	4	5

1. What did you find most valuable/useful about the training?

2. How could this training be improved? (Was there information you would like that the training did not include? Is there a better way to present this information?)

Thanks for your participation and feedback!

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