ATTC Post-Course Evaluation Form

ATTC Post-Course Evaluation Form

First Name:	Initial:	Last Name:

Organization:

Phone:
We hope that you have enjoyed the course and that it will be useful to you in your profession. Please take a momement to answer a few questions to help us plan for future events. Any comments you would like to offer would be greatly appreciated.
Read each statement and check the number which corresponds to the response that best describes your opinion about that statement.

Section 1: Training	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	Don't Know/ Not Applicable
This course was effective.
This course was well-organized.
I understood the content.
The content was relevant to the announced topic.
The course provided useful, relevant information.
The course was beneficial to me.
I expect to use the information gained from the this course.
The course met my needs for training in this topic area.
The course provided me with adequate knowledge in this topic area.
The course enhanced my skills in this topic area
I expect this course to benefit my patients.
I would recommend this course to a colleague.

Please list up to three things you think you will use from this course:
a.
b.
c.

Which sections did you find the most useful? Why?

Which sections did you find the least useful? Why?

What did you like best about this course's on-line and classroom format?

What did you like least about this course's on-line and classroom format?

What course format would you prefer the most?
a. On-line only
b. Classroom only
c. Both On-line only and Classroom
Which of the following are potential barriers to applying the information/skills learned in this training to your current job? Check all that apply.
Colleagues	Staff Resources	Patient Needs
Policies/Procedures	Time	Need for Additional Training
Financial Resources	Other Please Specify:
No Barriers
Additional Comments/Suggestions: