Form Approved
OMB No. 0920-1129
Exp. Date 08/31/2019
	
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OBGYN
FASD-SBI Event Evaluation 
Speaker:___________________________________ Event Date:______________
Event Title: ______________________________________________________________
We’re interested in your thoughts about this 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 | 
| 1. The speaker/training was knowledgeable about the content. | 1 | 2 | 3 | 4 | 5 | 
| 2. The speaker/training explained concepts clearly. | 1 | 2 | 3 | 4 | 5 | 
| 3. The training was presented in culturally competent, sensitive manner. | 1 | 2 | 3 | 4 | 5 | 
| 4. The content related to the learning objectives. | 1 | 2 | 3 | 4 | 5 | 
| 5. The content was appropriate for the audience. | 1 | 2 | 3 | 4 | 5 | 
| 6. Visual aids, handouts, and other media clarified content. | 1 | 2 | 3 | 4 | 5 | 
| 7. This content will be useful to me professionally. | 1 | 2 | 3 | 4 | 5 | 
| 8. I would attend/complete another training on the topic. | 1 | 2 | 3 | 4 | 5 | 
| 9. I would recommend this training to others. | 1 | 2 | 3 | 4 | 5 | 
| 10. Overall, the training met my expectations. | 1 | 2 | 3 | 4 | 5 | 
11. What did you find most valuable/useful about the training?
12. How could this training be improved?
Thanks for your participation and feedback!
CDC estimates the average public reporting burden for this collection of information as 4 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 (0920-1129).
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | Kramer, Brittney A. (MU-Student) | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-22 |