EMIS Alliance Local Training Participant Feedback Survey

Please take a few moments to provide feedback on the EMIS training you recently received. Submit a new form for each EMIS Alliance training course presented. (* Red asterisk notes required information)

Which ITC/Location provided this training?*

Pick a date using the calendar tool

Which subject was covered in this training?*

(If more than one subject was covered submit a separate form for each)

Would you like a copy of your survey responses emailed to you? (optional)

Be sure to enter your email address above.

Did you find the facility to be comfortable and appropriate?*

Use a scale of 1 to 5 where 1 = Uncomfortable/not appropriate and 5 = Very comfortable/highly appropriate

Did today's training meet your needs?*

The purpose of this training is to prepare you to troubleshoot and submit EMIS data for the reporting period covered by this training. Did today’s training accomplish this? Use a scale of 1 to 5 where 1 = Did not meet my needs and 5 = Exceeded expectations

Use the space below (5 lines max)

(Enter multiple names if more than one instructor)

Rate the materials provided for this course*

Use a scale of 1 to 5 where 1 = Poor, 3 = Average, and 5 = Excellent

Rate the session length for this course*

Use a scale of 1 to 5 where 1 = Poor, 3 = Average, and 5 = Excellent

Rate the value of the information provided*

Use a scale of 1 to 5 where 1 = Poor, 3 = Average, and 5 = Excellent

Rate the clarity of the information provided*

Use a scale of 1 to 5 where 1 = Poor, 3 = Average, and 5 = Excellent

Rate the presenter's subject knowledge*

Use a scale of 1 to 5 where 1 = Poor, 3 = Average, and 5 = Excellent

Rate the presenter's time management*

Use a scale of 1 to 5 where 1 = Poor, 3 = Average, and 5 = Excellent

Rate the presenter's responsiveness to questions*

Use a scale of 1 to 5 where 1 = Poor, 3 = Average, and 5 = Excellent

Rate today's training overall*

Use a scale of 1 to 5 where 1 = Poor, 3 = Average, and 5 = Excellent

After taking this class, rate your confidence regarding the tasks covered in this training*

Use a scale of 1 to 5 where 1 = Poor, 3 = Average, and 5 = Excellent

Use the space below (7 lines max)