Form 1 NIHTC Training Evaluation- Meeting Facilitation

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NIH)

NIHTC_Training_Evaluation-Meeting Facilitation

NIH Training Center Meeting Facilitation Survey

OMB: 0925-0648

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NIHTC Training Evaluation - Meeting Facilitation

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ID: 139



Thank you for participating in a recent training at the NIH Training Center.  We appreciate your support.  

Please take a few minutes to share your feedback about the training and your overall experience with us.

Rest assured, your input is confidential and will help ensure that we continue to provide a "5-star" experience to the NIH community.  

OMB#: 0925-0648 ExpDate: 3/31/18
Public reporting burden for this collection of information is estimated to average 5 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: NIH, Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address.



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Course Information



ID: 2

1) Session Title*

( ) Leadership Meeting

( ) Media Training

( ) Strategic Planning

( ) Teambuilding Activity

( ) Other - Write In



ID: 251

2) Please provide the name of the session

_________________________________________________



ID: 103

3) Start Date: Enter using the Calendar Tool to the right of the text box. (mm/dd/yyyy)*

_________________________________________________











ID: 237

4) Your IC/Office

( ) CC

( ) CIT

( ) CSR

( ) FIC

( ) NCATS

( ) NCCIH

( ) NCI

( ) NCRR

( ) NEI

( ) NHGRI

( ) NHLBI

( ) NIA

( ) NIAAA

( ) NIAID

( ) NIAMS

( ) NIBIB

( ) NICHD

( ) NIDA

( ) NIDCD

( ) NIDCR

( ) NIDDK

( ) NIEHS

( ) NIGMS

( ) NIMH

( ) NIMHD

( ) NINDS

( ) NINR

( ) NLM

( ) OD

( ) OHR

( ) ORF

( ) ORS



ID: 184

5) Facilitator's Name (You may type multiple names, if applicable.)

_________________________________________________



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Course Rating



ID: 208

Please select the star rating that corresponds to your experience: 1 star = poor, 2 stars = fair, 3 stars = average, 4 stars = good, 5 stars = excellent

How would you rate us on the following?


Star Rating

Session meeting my expectations.

_________________________________________________











ID: 250

Your expectations were not fully met, please tell us why:

____________________________________________

____________________________________________

____________________________________________

____________________________________________

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Facilitator Ratings



ID: 242

Please select the star rating that corresponds to your experience:1 star = poor, 2 stars = fair, 3 stars = average, 4 stars = good, 5 stars = excellent

How would you rate the facilitator on the following?


Star Rating

Facilitator keeping the group focused.

_________________________________________________

Facilitator keeping the group engaged.

_________________________________________________









ID: 217

You rated the facilitator below 4 stars in keeping the group focused, please tell us why:

____________________________________________

____________________________________________

____________________________________________

____________________________________________



ID: 249

You rated the facilitator below 4 stars in keeping the group engaged, please tell us why:

____________________________________________

____________________________________________

____________________________________________

____________________________________________



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Pace and Length



ID: 240

Please select a response for the following question: The LENGTH of the session was:

( ) Too Short

( ) About Right

( ) Too Long



ID: 241

Please select a response for the following question: The PACE of the session was:

( ) Too Slow

( ) About Right

( ) Too Fast



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ID: 238

Which part of this session do you feel will be MOST useful to you?

____________________________________________

____________________________________________

____________________________________________

____________________________________________



ID: 239

Which part of this session do you feel will be LEAST useful to you?

____________________________________________

____________________________________________

____________________________________________

____________________________________________









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Additional Information



ID: 34

Additional comments / suggestions:

____________________________________________

____________________________________________

____________________________________________

____________________________________________



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Thank you for your feedback!



ID: 1

Thank you for your feedback!  Our goal is to be a 5 star organization and your response is very important to us. Your response will be used to improve future programs at the NIH Training Center.

If you have additional feedback, please contact the NIH Training Center at 
training1@od.nih.gov or 301-496-6211
 



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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAbdelaziz, Zina (NIH/OD) [E]
File Modified0000-00-00
File Created2021-01-22

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