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Trainer Feedback Survey

Page One

Please provide your first and last name so we can follow up with you if needed. *This question is required.

What is the title of the learning activity you trained or facilitated? *This question is required.

What is the date of the learning activity you trained or facilitated? *This question is required. This question requires a valid date format of MM/DD/YYYY.

calendar

Was this training offered at a specific county location? *This question is required.

In which county was the training held? *This question is required.

Was this training offered as a virtual training? *This question is required.

For virtual training, what platform was used? *This question is required.

Please rate how completely the learning objectives were achieved in this learning activity.

Fully Achieved	Somewhat Achieved	Neutral	Somewhat Not Achieved	Not Achieved

Please describe the reason learning objectives were not fully achieved.

Did you identify any issues with the curriculum (standardized or non-standardized) that need addressed?

If yes, please explain.

Comments

Please rate your experience with each of the following. Please share any challenges or positive experiences in the "Comments" box to the right.

	Excellent	Comments
	Experience	Comments
Equipment (computer, projector, flip charts, TV, DVD player, etc.)		Comments
Technology (wifi access, etc.)		Comments
Facility (training room, restrooms, kitchen access, etc.)		Comments
Physical Location (accessibility, parking, directions on how to get there, etc.)		Comments
County or RTC Staff		Comments

Please rate your experience with each of the following. Please share any challenges or positive experiences in the "Comments" box to the right.

	Excellent	Comments
	Experience	Comments
Access to DL Platform		Comments
Connectivity-Trainer		Comments
Connectivity-Trainees		Comments
Materials available to trainees		Comments
Trainee engagement		Comments
Producer Support (if no producer, leave unranked)		Comments

Did you experience any significant incident(s) or technology failures during the learning activity?

If yes, please describe the incident(s) and the corresponding action(s) you took in the comments area below, including whether or not you feel this incident requires OUCCAS/RTC intervention.

Comments

Do you have suggestions to improve your training experience, including any county or RTC-related suggestions?

If yes, please list your suggestions in the comments area below.

Comments