Form 0917-0036 eLearning Hands-on Customer Satisfaction survey

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery: IHS Customer Service Satisfaction and Similar Surveys

eLearning Hands-on Post Class Survey

eLearning Hands-on Customer Satisfaction Survey

OMB: 0917-0036

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5. eLearning/Hands-on Post Class Survey
REQUIRED OMB INFORMATION: 
Indian Health Service (IHS) FY_ eLearning/Hands­on Post Class Survey 
 
Form Approved 
OMB Form No. 0917­0036 
Expiration Date:  
 
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information 
unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0917­0036. 
The time required to complete this information collection is estimated to average 5 minutes per response, including the 
time to review instructions, search existing data resources, gather the data needed, and complete and review the 
information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for 
improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence 
Ave., S.W., Suite 336E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer. 
OIT values your input on the course you have just completed. Comments included on this post class survey will be used 
to help improve the effectiveness of OIT's training program. 

*1. How did you hear about this OIT sponsored RPMS course?
c Web Site
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c Other (please specify)
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*2. Was the registration process easy?
 

j Yes
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j No
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If you answered no, please identify ways to make the registration process easier. 

*3. Please rate the technical components below.
Adobe Connect/teleconference information was received 

Disagree

Somewhat Agree

Agree

N/A

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the day prior to or the day of the session (if you were 
registered to participate).
The Adobe Connect information supplied the correct 
login password.
The teleconference information supplied the correct 
number and access code.
Instructions on accessing the session were clear.

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5. eLearning/Hands-on Post Class Survey

*4. Is there anything that would improve the accessibility of this session?
j No
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j Yes
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If yes, please note how accessibility may be improved: 

*5. Please rate the presentation methods.
Strongly 

Disagree

Somewhat Agree

Agree

Strongly Agree

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Training was paced appropriately.

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Sufficient practice time was provided.

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The hands­on exercises enhanced the learning 

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Disagree

Somewhat Agree

Agree

Strongly Agree

Disagree
Objectives were clearly stated at the beginning of the 
session.

experience.
The hands­on exercises were useful in reinforcing the 
course objectives.

*6. Please rate the instructor.
Strongly 
Disagree
Arrived prepared and organized.

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Explained objectives clearly at the start of the training.

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Demonstrated knowledge of the subject material.

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Provided clear instructions.

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Addressed participant questions.

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Made the course interesting.

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*7. What part of the training did you find most useful?
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*8. What part of this training did you find least useful?
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9. Please make additional comments here.
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