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* 1. Name

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* 2. Community

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* 3. Which of the following best describes your work? Check all boxes that apply.

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* 4. What made you sign up for this training? (What did you hope to learn)?

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* 5. Was this training helpful to you? If so, how?

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* 6. How do you plan to use what you learned at the training? What will you do with this information to help improve your program or community’s situation?

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* 7. Do you need additional information or training in order to accomplish your backhaul needs? If so, what?

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* 8. What did you like best about this training?

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* 9. What did you like least about this training?

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* 10. Has this training made you more aware of the importance of demonstrating safety in your community and backhaul program? Please describe how. 

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* 11. Did this training help you understand the importance of developing and maintaining a haz materials program following the Hazardous Materials Regulations (HMR)?

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* 12. Do you feel like you understand the HMR recordkeeping requirements after taking this training? (listing on a form where/when you received training for Safety, Function Specific, Security and General Awareness)

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* 13. If there was something missing from this training, what was it and what would you change about the training to make room for it?

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* 14. What other suggestions do you have for us to make the training better?

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* 15. Please let us know what kinds of training or webinar topics you would like us to offer.

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* 16. How was the delivery style of the presentation? Check the closest response. Write more if possible.

Pace/speed of delivery:

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* 17. How would you rate this webinar/training compared to similar webinars and online trainings you’ve attended?

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