Instructions: Module 57 - TheMeasurementGroup.com

SPNS COOPERATIVE AGREEMENT EVALUATION

MODULE 57: TRAINING EVALUATION FORM: SKILLS, ATTITUDES, COMFORT INSTRUCTIONS

Citation: Huba, G. J., Melchior, L. A., Staff of The Measurement Group, and HRSA/HAB's SPNS Cooperative Agreement Steering Committee (1997). Module 57: Training Evaluation Form: Skills, Attitudes, Comfort. Available: www.TheMeasurementGroup.com. Culver City, California: The Measurement Group.

Answer questions by either filling in a circle, or writing a number or letter in a square box. If the answer goes in a square box, you must use a CAPITAL LETTER or number that does not touch the side of the box. Print only one letter or number in each box. If the letters or numbers that you print touch the sides of the boxes, or if you do not clearly print the information, the computer will "kick out" the form and we will need to return it to you to be completed correctly. If the question asks the answer to be filled in a circle, make sure that the circle is completely darkened. Only darken one circle for each question unless the instructions specifically tell you to darken as many as apply for that question.

Specific Parts of Module 57: Training Evaluation Form: Skill, Attitudes, Comfort

ID Letters/ID Numbers. These boxes are provided for entering the unique identifier your site is using to track trainee information. The four boxes on the left are to be used for letters, while the ten boxes on the right are reserved for numbers. You may use letters, numbers, or a combination of letters and numbers, for identification purposes. If you use a combination of letters and numbers, however, please use the letters first in your alphanumeric sequence (for example, if your unique identifier is MD-1479, the letters "M" and "D" would be entered in the first two of the four boxes reserved for letters and the numbers "1", "4", "7", and "9" would be entered into the first four of the ten boxes reserved for numbers). If you are unsure about a trainee’s unique identifier, check with your project director.

Site. This is a code to identify your project in the cross-cutting evaluation. It should be pre-printed on the form. If it has not been already entered on the form, check with your project to find out your site code and enter it in the boxes. Site codes are 3 letters.

Sub-Provider. If appropriate, enter the code for the service provider agency doing the activity. The provider codes are determined by your local project. Provider codes can be up to 3 letters.

Training Date. Enter the numbers representing the date of the training or presentation in these boxes. Enter the month as a number from 01 to 12 for January through December. Enter the day as a two-digit number (01 to 31). Enter the last two digits of the current year (for example, "95" for 1995). Make sure that if a month or day is less than 10, you place a "0" before the number.

Title of Training. Enter the title of the training in the boxes provided. If there are not enough boxes, please use an abbreviation that will fit in the number of boxes provided.

Date of Ratings. Enter the numbers representing the date that this form was used to rate the training. Enter the month as a number from 01 to 12 for January through December. Enter the day as a two-digit number (01 to 31). Enter the last two digits of the current year (for example, "95" for 1995). Make sure that if a month or day is less than 10, you place a "0" before the number.

Training #. Enter the three-digit code for the training session. For example, if this is the third training or presentation that your project has held, you would enter "003" in these boxes.

Instructions: Using the understanding that you now have at the end of today’s training, please rate the items below about the training you have received.

How would you rate your:

Ability to counsel clients about this topics covered in this training?) For both "Before this training" and "After this training," darken the circle under "Low" if you had/have little or no ability. Darken the circle under "Medium" if you had/have average ability. Darken the circle under "High" if your ability to counsel clients on this topic was/is excellent. Darken the circle under "Does not apply" if this statement is not applicable.

Ability to manage clients regarding topics covered in this training? For both "Before this training" and "After this training," darken the circle under "Low" if you had/have little or no ability. Darken the circle under "Medium" if you had/have average ability. Darken the circle under "High" if your ability to manage clients on this topic was/is excellent. Darken the circle under "Does not apply" if this statement is not applicable.

Comfort level in providing services to clients in relation to the topic (s) covered in this training? For both "Before this training" and "After this training," darken the circle under "Low" if you had/have little or no comfort level. Darken the circle under "Medium" if you had/have average comfort level. Darken the circle under "High" if your comfort level in providing services to clients was/is excellent. Darken the circle under "Does not apply" if this statement is not applicable.

Overall knowledge of the topic (s) covered in this training? For both "Before this training" and "After this training," darken the circle under "Low" if you had/have little or no overall knowledge of the topic. Darken the circle under "Medium" if you had/have average overall knowledge. Darken the circle under "High" if your overall knowledge was/is excellent. Darken the circle under "Does not apply" if this statement is not applicable.

Module 57

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