* 1. Name of facility:

* 2. At what level would you rate your knowledge of this subject before the program?

* 3. Overall, how would you rate the Avera CNA On-Line Training Solutions program?

* 4. How would you rate the overall program approach, using the modules that are provided?

* 5. How would you rate the overall program approach, using the key terms and learning activities?

* 6. At what level would you rate your knowledge of this subject after the program?

* 7. At what level would you rate the 8 hour skills review provided by AESS?

* 8. What is your technology capability on a scale of 1 to 10? (1 lowest - 10 highest)

* 9. With the syllabus provided was there any confusion in completing the Avera CNA On-Line Training Solutions program? (If yes please explain)

* 10. What part of the program did you find most valuable?

* 11. What new information did you learn today?

* 12. Suggestions for improvements?

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