CBL Training Course Evaluation Form

Please make sure all information entered is complete.

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* 1. Name of Training

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* 2. Date of Training

Date

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* 3. Name of Trainer

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* 4. I clearly understood the educational objectives of this course.

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* 5. I will be able to immediately apply what I have learned in this course.

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* 6. I was well engaged during the session.

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* 7. I found the materials to be effective in helping to learn this content.

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* 8. I was comfortable with the duration of the course.

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* 9. I found the environment to be comfortable and accommodating for training.

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* 10. How many ACBH CBL Trainings have you attended?
(Select the number in the box that apply)

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* 11. Additional Comments:

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* 12. Was this training free of commercial bias?

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* 13. Ethnicity/Cultural Heritage (Mark only one choice)

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* 14. Gender Identity "A" - Assigned sex at birth

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* 15. Gender Identity "B" - Current

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* 16. Age Group 0

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* 17. Sexual Orientation (Please mark only one choice)

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* 18. Veteran Status

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* 19. Primary Languages

T