0917-0036 Classroom Survey

Classroom and Satellite Classroom Post Training Survey

REQUIRED OMB INFORMATION:
Indian Health Service (IHS) Classroom and Satellite Classroom Post Training Survey
Form Approved
OMB Form No.
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 0917-0036. 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.

Classroom and Satellite Classroom Post Training Survey
Registration and Facilities

OIT values your input on the course you have just completed. All comments included on this post
course survey are anonymous and will be used to improve the effectiveness of OIT’s training program.
Please note questions marked with an asterisk (*) are required.
* 1. How did you hear about this OIT sponsored RPMS training?

* 2. What is your Area affiliation?

1

* 3. Please rate the following registration component:
Strongly
Somewhat
Disagree Disagree
Agree

Agree

Strongly
Agree

The registration process on the OIT training website was easy.
Optional: Please provide any additional comments related to your registration experience below.

* 4. Please rate the facilities in the following areas:
Strongly
Somewhat
Strongly
Not
Disagree Disagree
Agree
Agree Agree Applicable
The computers were set up ahead of time.
The technology used during the course functioned properly.
Local IT support was responsive when addressing any issues.
Optional: Please provide any additional comments related to the facilities below.

Classroom and Satellite Classroom Post Training Survey
Presentation Methods

* 5. Please rate the following presentation methods:
Strongly
Somewhat
Disagree Disagree
Agree

Agree

Strongly
Agree

The course objectives were clearly presented.
I am now able to accomplish the course objectives.
The relevant activities, quizzes, and/or polls reinforced the objectives.
The course materials were provided ahead of time.
The provided course materials were helpful.
The course was paced appropriately.
I would recommend this course to other users.
Optional: Please provide any additional comments related to the presentation methods below.

Classroom and Satellite Classroom Post Training Survey

2

Instructor Evaluation

* 6. Please rate the instructor:
Strongly
Somewhat
Disagree Disagree
Agree

Agree

Strongly
Agree

The instructor was prepared and organized.
The instructor demonstrated expertise in course material.
The instructor communicated in a way that was easy to follow and understand.
The instructor provided useful feedback and answered questions.
Optional: Please provide any additional comments related to the instructor below.

* 7. Was the instructor present in your classroom?
Yes
No

Classroom and Satellite Classroom Post Training Survey
Proctor Evaluation

* 8. Please rate the proctor for your satellite classroom:
Strongly
Somewhat
Strongly
Not
Disagree Disagree
Agree
Agree Agree Applicable
The proctor was prepared and organized.
The proctor contacted local IT support as appropriate.
The proctor communicated with the instructor when necessary.
The proctor remained in the classroom for the duration of the course.
Optional: Please provide any additional comments related to the proctor below.

Classroom and Satellite Classroom Post Training Survey
Summary

3

The following short answer questions are an opportunity to provide any additional feedback that you
think will help improve future courses. If you do not have any additional feedback, please scroll to the
bottom, and click “Done” to submit your survey.
9. Optional: Which part of the course did you find most useful?

10. Optional: Which part of this course did you find least useful?

11. Optional: Please make any additional comments not previously addressed below.

4