Form 0920-1050 Training Assessment Form

OMB Control No. 0920-1050

Exp. Date 06/30/2025

The public reporting burden of this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to - CDC/ATSDR Reports Clearance Officer; 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333 ATTN: PRA (0920-1050)

Training Assessment Form Course Title: Training Module(s): Instructor(s): Date:
Instructions: Upon completion of the training, participants are encouraged to complete this assessment form. CDC will use this information to assess the effectiveness of training content, instructors, and methods. Please circle the response below that best describes your assessment of the training. If a question is not applicable to your training course or if you do not have sufficient information to answer, select N/A. This assessment is voluntary and no names will be identified.
SECTION I: COURSE CONTENT
	Not Applicable	Strongly Disagree	Disagree	Agree	Strongly Agree
1. The course content supported the overall learning objectives.	N/A	1	2	3	4
2. The course information was at an appropriate level to understand the learning objectives.	N/A	1	2	3	4
3. The course provided opportunities to practice and reinforce what was taught.	N/A	1	2	3	4
4. The training was relevant to the knowledge I need to accomplish my job.	N/A	1	2	3	4
5. The training increased my knowledge on the topic(s) addressed.	N/A	1	2	3	4
6. I will apply what I learned today in my work with CDC.	N/A	1	2	3	4
7. I am satisfied with this course.	N/A	1	2	3	4
8. I would recommend this course to someone (even if it were not a required course).	N/A	1	2	3	4
SECTION II: INSTRUCTOR ASSESSMENT
9. The instructor(s) was/were prepared for class.	N/A	1	2	3	4
10. The instructor(s) was/were knowledgeable about the course content.	N/A	1	2	3	4
11. The instructor(s) was/were responsive to questions and other needs.	N/A	1	2	3	4
12. The instructor(s) encouraged a participatory and interactive learning environment.	N/A	1	2	3	4

SECTION III: COURSE LOGISTICS
13. Time allotted for the overall course was appropriate.	N/A	Too Short	Adequate	Too Long	Unsure
14. Adequate time was provided for questions and discussion.	N/A	Too Short	Adequate	Too Long	Unsure
SECTION IV: ADDITIONAL COMMENTS
15: Please list the modules you found most useful and why.
16: Please list the modules you found least useful and why.
17: What suggestions do you have for improving the course?
18. Are there any additional topics you would like to see added to the course?
19. Additional comments?