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(TITLE OF TRAINING)
Training Evaluation Survey
ORIGINAL
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Post Questionnaire for ESIT Providers
Please take a moment to respond to the following questions about the
TITLE OF TRAINING
training you received.
*
1.
Name
(Required.)
*
2.
Agency Name
(Required.)
*
3.
Email Address
(Required.)
*
4.
What is your role in the ESIT system? (Please check all that apply)
(Required.)
Program Administrator (Executive Director, Program Manager, Supervisor/Lead, etc)
Educator (Special Education Teacher, Teacher of the Visually Impaired, Teacher of the Deaf, etc)
Paraeducator
Therapist or Therapy Assistant (SLP, OT, PT, etc)
Family Resources Coordinator
Intake, Referral and/or Data Entry
Mental Health Specialist (Social Worker, Counselor, Psychologist, etc)
Other health role (Nutritionist, Pediatrician, Nurse, Audiologist, etc)
Other, please specify (Finance, Contract, Intern, etc)
*
5.
Years in ESIT or Part C services
(Required.)
0-6 months
6-12 months
1-3 years
3-5 years
5-10 years
10 or more years
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6.
Please rate the following statements related to this training
(Required.)
Strongly Disagree
Disagree
Neither Disagree nor Agree
Agree
Strongly Agree
I was engaged during this training.
Strongly Disagree
Disagree
Neither Disagree nor Agree
Agree
Strongly Agree
This training provided me with useful knowledge and skills.
Strongly Disagree
Disagree
Neither Disagree nor Agree
Agree
Strongly Agree
This training will help me more effectively perform my job.
Strongly Disagree
Disagree
Neither Disagree nor Agree
Agree
Strongly Agree
The objectives of this training were met.
Strongly Disagree
Disagree
Neither Disagree nor Agree
Agree
Strongly Agree
This training included topics of equity.
Strongly Disagree
Disagree
Neither Disagree nor Agree
Agree
Strongly Agree
The trainer(s) exhibited expertise and knowledge about the topics and taught them effectively.
Strongly Disagree
Disagree
Neither Disagree nor Agree
Agree
Strongly Agree
This training was overall high quality.
Strongly Disagree
Disagree
Neither Disagree nor Agree
Agree
Strongly Agree
*
7.
If you requested disability accommodations, please rate how satisfied you were with the accommodations you received. If you did not request disability accommodations, please select NA.
(Required.)
Very satisfied
Satisfied
Neither satisfied nor dissatisfied
Dissatisfied
Very dissatisfied
NA
Please provide information about what worked well and what could be improved regarding the disability accommodations you requested.
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8.
What worked well?
(Required.)
*
9.
What could be improved?
(Required.)
10.
I would like more training about...
11.
Please provide any additional comments you would like to share.