EHLR Immersion Pilot Training Feedback Form

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

AttC-EHLR-Pilot-FeedbkForm (REDCap)

OMB: 0923-0047

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EHLR Immersion Training Feedback Form
Page 1

EHLR Immersion Pilot Training Feedback Form

__________________________________
Form Approved
OMB No: 0923-0047
Exp. Date: 02/28/2025

CDC/ATSDR estimates the average public reporting burden for this collection of information as
10 minutes per response, 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 collection of information unless it displays
a currently valid OMB control number. Send comments regarding this burden statement 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 D-74,
Atlanta, GA 30333, ATTN: PRA (0923-0047).
Thank you for participating in the Environmental Health and Land Reuse (EHLR) Immersion Training. Please take a
few minutes to provide your feedback.
What is your job title?

Environmental Health Professional
Environmental Professional
Tribal Environmental Specialist
Planner
Municipal/Tribal Agency Official
Developer
Environmental Non-profit/Non-profit
Citizen/Community Member
Student in public health, environmental science,
planning, "STEM" discipline
None of the above

Which EHLR Immersion module(s) did you participate in?

Community Engagement
Evaluating Environmental and Health Risks
Communicating Environmental and Health Risks (Risk
Communication)

Was the training length too long, too short, or about right for providing in-depth learning?
Much too long

Somewhat too long

About right

Somewhat too short

Much too short

The instructor(s) were knowledgeable about their topics.
Strongly Agree

02/17/2023 12:13pm

Agree

Not Applicable or Neutral

Disagree

Strongly Disagree

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The instructors treated me with respect.
Strongly Agree

Agree

Not Applicable or Neutral

Disagree

Strongly Disagree

Disagree

Strongly Disagree

The instructors were approachable and made me feel welcome.
Strongly Agree

Agree

Not Applicable or Neutral

The instructors delivered training content in a way that I could understand it.
Strongly Agree

Agree

Not Applicable or Neutral

Disagree

Strongly Disagree

Disagree

Strongly Disagree

The training overall increased my skills and knowledge.
Strongly Agree

Agree

Not Applicable or Neutral

The practice sessions were useful for increasing my skills and applying concepts from the training.
Strongly Agree

Agree

Not Applicable or Neutral

Disagree

Strongly Disagree

The instructors allowed enough time for discussion of topics and answering questions.
Strongly Agree

Agree

Not Applicable or Neutral

Overall, how would you rate the training (select all
that apply)?

Disagree

Strongly Disagree

Reinforced basic concepts/was a good refresher
Provided me with new knowledge and information
Helped me feel more informed and able to
understand technical information
Increased my capacity (increased skills and
understanding)
Was not effective for my learning
Was of little value to me

Is there anything else you would like to share about the EHLR training? If so, please respond here.

02/17/2023 12:13pm

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