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Kimochis® Training Evaluation:
Tier Intervention Model
Presenter: Ellen Pritchard Dodge, M.Ed CCC-SLP
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1.
Before this training, my level of useable knowledge on the training
topic was:
(Required.)
LOW 1
2
3
4
5 HIGH
LOW 1
2
3
4
5 HIGH
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2.
Now, my level of useable knowledge is:
(Required.)
LOW 1
2
3
4
5 HIGH
LOW 1
2
3
4
5 HIGH
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3.
I will use what I learned in this training:
(Required.)
DISAGREE 1
2
3
4
5 AGREE
DISAGREE 1
2
3
4
5 AGREE
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4.
Overall, this training was:
(Required.)
POOR 1
2
3
4
5 EXCELLENT
POOR 1
2
3
4
5 EXCELLENT
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5.
What aspects of this training were most beneficial? Why?
(Required.)
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6.
How could future trainings be improved?
(Required.)
7.
Additional Comments/Feedback
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8.
Name
(Required.)
*
9.
Email Address
(Required.)