OCALI Lending Library - Did You Notice? Virtual Training Evaluation

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* 1. Patron Name

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* 2. Email Address

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* 3. Are you a person with a disability?

Yes

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* 4. Are you a family member of a person with a disability?

Yes

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* 5. Title/Role

County Board of Developmental Disabilities Staff Member

Direct Support Professional

Intervention Specialist/Special Education Teacher/Educational Diagnostician

Occupational Therapist

Physical Therapist

Provider Agency Staff Member

Social Worker

Speech and Language Therapist/Pathologist

Other (please specify)

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* 6. Accession Number

Refer to the email you received regarding taking the survey to find the accession number of item borrowed. You can also look for the eight digit number associated with the item on top or side of the container that the items were packaged in.

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* 7. Date Requested

Please enter the date you requested the item below:

Date

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* 8. Date Received

Please enter the date you received the requested item below:

Date

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* 9. County

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* 10. Zip Code

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* 11. School District or Organization

If you work for a school, please enter the name of the district that your school belongs to. If you do not work for a school, please simply enter the name of the organization that you work for.

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* 12. Please describe your experience using the headset and going through each training scenario:

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* 13. Were there any scenarios in the training that you found more useful? Were there any scenarios in the training that you thought were challenging?

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* 14. Which of the following best describes how the headset was used?

For my own personal use

For another family member's use within my household

I was the only one to use this headset to train others within my organization

Multiple people at my organization used this headset to train others

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* 15. What insights from the training will you implement into your personal practice? What insights from the training will affect your personal relationships with others?

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* 16. What other types of trainings with virtual reality would you like to see?

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* 17. If you experienced any malfunctions or difficulties in setting up the headset, or if there were any parts of the set-up that you found confusing, please describe these issues below:

OCALI Lending Library - Did You Notice? Virtual Training Evaluation

Question Title

* 1. Patron Name

Question Title

* 2. Email Address

Question Title

* 3. Are you a person with a disability?

Question Title

* 4. Are you a family member of a person with a disability?

Question Title

* 5. Title/Role

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* 6. Accession NumberRefer to the email you received regarding taking the survey to find the accession number of item borrowed. You can also look for the eight digit number associated with the item on top or side of the container that the items were packaged in.

Question Title

* 7. Date Requested

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* 8. Date Received

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* 9. County

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* 10. Zip Code

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* 11. School District or OrganizationIf you work for a school, please enter the name of the district that your school belongs to. If you do not work for a school, please simply enter the name of the organization that you work for.

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* 12. Please describe your experience using the headset and going through each training scenario:

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* 13. Were there any scenarios in the training that you found more useful? Were there any scenarios in the training that you thought were challenging?

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* 14. Which of the following best describes how the headset was used?

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* 15. What insights from the training will you implement into your personal practice? What insights from the training will affect your personal relationships with others?

Question Title

* 16. What other types of trainings with virtual reality would you like to see?

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* 17. If you experienced any malfunctions or difficulties in setting up the headset, or if there were any parts of the set-up that you found confusing, please describe these issues below:

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* 18. Going forward, what can we do to improve the virtual reality experience?

* 6. Accession Number

Refer to the email you received regarding taking the survey to find the accession number of item borrowed. You can also look for the eight digit number associated with the item on top or side of the container that the items were packaged in.

* 11. School District or Organization

If you work for a school, please enter the name of the district that your school belongs to. If you do not work for a school, please simply enter the name of the organization that you work for.