Survey Questions

PHH50 2020 Questions.docx

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Survey Questions

OMB: 2137-0640

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PHH-50 Customer Service Feedback Questions

Session Identification

  1. Event name:

  2. Event date:

  3. Event location:


Event Satisfaction:

Please rate this event by selecting one box that most accurately reflects your opinion.

  1. How would you rate the amount of new information you learned?

Excellent; Very Good; Good; Fair; Poor

  1. How would you rate the usefulness of this information in your job?

Excellent; Very Good; Good; Fair; Poor

  1. Accuracy of the event description to event presentation?

Excellent; Very Good; Good; Fair; Poor

  1. Event Length relative to the amount of content?

Excellent; Very Good; Good; Fair; Poor

  1. How would you rate the handouts/slides?

Excellent; Very Good; Good; Fair; Poor

  1. How would you rate the presentation skills/knowledge level of the presenter(s)?

Excellent; Very Good; Good; Fair; Poor

  1. How would you rate the presentation’s impact on your line of business in improving safety?

Excellent; Very Good; Good; Fair; Poor

Areas of Improvement:

Which of the areas, if any, would you recommend for improving this presentation?

  • Instructor

    • Knowledge of subject

    • Preparation and organization

    • Presentation

    • Attendee participation

    • Helpful feedback

  • Delivery

    • Methods of instruction

    • Materials/handouts

    • Scenarios/ examples

    • Course too short

    • Course too long

  • Content

    • More job-related information

    • Missing information

    • Out-of-date information

    • Unnecessary information

    • Too much information


Tell Us About You:

Tell us a little bit about yourself and why this session was of interest to you

  • Where are you from?

    • Shipper

    • Carrier

    • Trade Association

    • Local Government

    • State Government

    • Federal Government

    • Emergency Responder

    • Packaging Manufacturer

    • Other:

  • Why you attended this presentation?

    • To learn new skills

    • To improve current skills

    • Supervisor sent me, don’t know

    • Mandatory/job requirement

    • Other:

  • Tell us why you were interested in this event:


Additional Feedback:

Please provide us with any additional comments (e.g., suggestions for future events, topic areas you would like to see covered, or any other feedback.)

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorGeller, Shelby (PHMSA)
File Modified0000-00-00
File Created2021-01-14

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