SAIRS Online Provider Training Feedback Survey

1. Please select all modules you completed.

Please select all modules you completed. Intro

Module 1: View and Print Data

Module 2: Enter Data

Module 3: Track with Partial Inventory

Module 4: Track with Full Inventory

2. Check the rating that best describes your experience with this training program.

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
Overall this training met my expectations.	*Check the rating that best describes your experience with this training program. Overall this training met my expectations. Strongly Disagree	Overall this training met my expectations. Disagree	Overall this training met my expectations. Neutral	Overall this training met my expectations. Agree	Overall this training met my expectations. Strongly Agree
I enjoyed this training.	I enjoyed this training. Strongly Disagree	I enjoyed this training. Disagree	I enjoyed this training. Neutral	I enjoyed this training. Agree	I enjoyed this training. Strongly Agree
I would recommend this training to others.	I would recommend this training to others. Strongly Disagree	I would recommend this training to others. Disagree	I would recommend this training to others. Neutral	I would recommend this training to others. Agree	I would recommend this training to others. Strongly Agree
This training will help me with my work.	This training will help me with my work. Strongly Disagree	This training will help me with my work. Disagree	This training will help me with my work. Neutral	This training will help me with my work. Agree	This training will help me with my work. Strongly Agree
The program was easy to use.	The program was easy to use. Strongly Disagree	The program was easy to use. Disagree	The program was easy to use. Neutral	The program was easy to use. Agree	The program was easy to use. Strongly Agree

3. Was any part of the training confusing? Please describe.

Was any part of the training confusing? Please describe.

4. Please rank your confidence to begin direct entry into SAIRS.

Please rank your confidence to begin direct entry into SAIRS. Not confident at all. I need to be contacted by the SAIRS Team for more training.

Somewhat confident. I still have questions and would like to be contacted by the SAIRS Team.

Confident. I'm ready to start direct entry.

Very confident. I fully understand the training and I'm ready to start direct entry.

Other (please specify)

5. Would you like to be contacted by the SAIRS Team? If yes, please fill out the contact information below.

Would you like to be contacted by the SAIRS Team? If yes, please fill out the contact information below. Name:
Facility Name:
Email Address:
Phone Number:

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