AttC-EHLR-Pilot-FeedbkForm (Word)

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

AttC-EHLR-Pilot-FeedbkForm (Word)

OMB: 0923-0047

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EHLR Immersion Training Feedback Form

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EHLR Immersion Pilot Training Feedback Form





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Form Approved OMB No: 0923-0047

Exp. Date: 02/28/2025


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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

Shape6 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

Shape10 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 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


The instructors were approachable and made me feel welcome.


Strongly Agree Agree Not Applicable or Neutral Disagree Strongly Disagree


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


Strongly Agree Agree Not Applicable or Neutral Disagree Strongly Disagree


The training overall increased my skills and knowledge.


Strongly Agree Agree Not Applicable or Neutral Disagree Strongly Disagree


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 Disagree Strongly Disagree


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

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

Shape20 Shape21 Increased my capacity (increased skills and understanding)

Shape22 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.

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02/17/2023 12:13pm

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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorBerman, Laurel A. (ATSDR/OAD/OCDAPS)
File Modified0000-00-00
File Created2023-08-29

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