3245-0394 Appendix C-1 Module Feedback Form Final.v3 12-05-2022

T.H.R.I.V.E. Emerging Leaders Reimagined program -Module Feedback Form

OMB Approval No:
Expiration Date:

Thank you for taking the time to assess the program and curriculum. This feedback form asks about your experience with the [module name] module in the training program. Your feedback is crucial to our ability to continue to provide a high-quality program to other small businesses like yours. Please complete this assessment as candidly as possible. Your responses will be kept confidential as detailed in the consent form preceding the survey. If you have any concerns or questions, reach out to us at [email protected].Thank youThank you

SBA T.H.R.I.V.E. Emerging Leaders Reimagined

Module Questions

1. Did you learn anything new about (module name) in this module?

• Yes

• No

• If Yes, what new information did you learn? (please be specific but brief) [text entry]

2. On a scale of 0 to 10, where 0 means poor and 10 means excellent, rate usefulness of this module (0-10).

[numerical entry]

3. What changes, if any, would you make to the content of this module to better support you in managing and growing your business?

4. How useful was the coaching in helping with your growth plan in this module?

• Very useful

• Mostly Useful

• Somewhat useful

• Slightly useful

• Not useful

5. Please share more details on how the coaching did or did not help. (please be specific but brief): [text entry]

6. Did the subject matter expert office hours session assist you with your growth plan for this module?

• Yes

• No

• Did not attend

7. [If did not attend then skip], please share more details on how the SME office hours did or not help. (please be specific but brief) [text entry]

8. Was your peer-to-peer discussion group helpful on this module topic?

• Yes

• No

• Did not attend

9. [If did not attend then skip] Please share more details on how the peer-to-peer discussion group did or not help. (Please be specific but brief) [text entry]

10. Would you recommend this module to other business peers?

• Yes

• No

11. What was the most valuable to you in this module? (choose one)

• Online training

• Peer-to-peer discussion group

• Coaching session

• Subject Matter Expert office hours

• Networking with other participants or module leaders