Form Post-Training Surv Post-Training Surv Post-Training Survey

OMB No. 0930-XXXX
Expires: MM/DD/YYYY

Public Burden Statement: 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. The OMB control number
for this project is 0930-0xxx. Public reporting burden for this collection of information is estimated to average
15 minutes per respondent, per year, including the time for reviewing instructions, searching existing data
sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or any other aspect of this collection of
information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, 5600
Fishers Lane, Room 15E57-B, Rockville, Maryland, 20857.

privacy.

Please select the response that best describes your level of agreement with the following statements
about your MHFA Instructor(s).

Instructor #1 (please indicate
instructor’s name):
____________________

Instructor #2 (please indicate
instructor’s name; leave
column blank if not
applicable):
____________________

a. The Instructor’s
presentation skills were
engaging and approachable.

b. The Instructor
demonstrated knowledge of
the material presented.

c. The Instructor facilitated
activities and discussion in
a clear and effective
manner.