11-12-13 Communicating with People with Disabilities during Disasters

Page One

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Space Cell

Very Satisfied

Neither Satisfied nor Dissatisfied

Dissatisfied

Very Dissatisfied

Knowledge of the teaching faculty on the topic

Presentation organization and adherence to topic

Scope or breadth of information presented

I would enroll in another session taught by this instructor

Value of the content presented

1. Overall, how satisfied are you with your experience in this program?

2. Please explain the reason for your overall satisfaction rating:

3. I learned about this session from:

4. Below you will find a list of possible reasons that a person might have enrolled in this course. Please read them and then rank them in order of their importance to you. Note: for the following table each column is restricted to a single answer across all rows.

	1	2	3	4	5
My employer / professional organization required me to take the course.	1	2	3	4	5
I was interested in the topic.	1	2	3	4	5
I need the continuing education credit.	1	2	3	4	5
To prevent potential law suits.	1	2	3	4	5
Other: Please explain in the text box below	1	2	3	4	5

5. Please add an additional reason you enrolled for the course here, or type in a more detailed description of your reason for enrolling, if you wish.

6. Please rate your level of satisfaction with these specific aspects of your educational experience with the presenter, Franklin Barnes:

7. Please rate your level of satisfaction with these specific aspects of your educational experience with the presenter, Jay Doudna:

8. Please rate your level of satisfaction with these specific aspects of your educational experience with the presenter, Stephanie Nichols:

9. Please rate your level of satisfaction with these specific aspects of your educational experience with the presenter, Jan Hatch:

10. Is there anything else you'd like to tell us about your level of satisfaction with your educational experience?

11. My questions were answered to my satisfaction:

12. The technology used in this session was effective:

13. I will make changes in the way that I perform my work based upon the information presented to me in this session:

14. I will seek additional information on this topic because I participated in this program:

15. If tomorrow a co-worker asked you what you learned in this session, what one or two points would you share?

16. What other related topics would you be interested in learning more about?

17. If you have other comments to make, please make them in this space.

If you would like to be contacted, please fill out your contact info below:

First Name

Last Name

Title

Company Name

Street Address

Apt/Suite/Office

City

State

Postal Code

Country

Email Address

Phone Number

Fax Number

Mobile Phone

Website URL

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