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2023 NPETE/CCCHST/NESHTA Instructor Conference EVALUATION FORM
Name
(Required)
First
Last
1. The goals and objectives of the Instructor Conference were presented and clear.
(Required)
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
2. The presenters were well prepared and knowledgeable.
(Required)
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
3. The conference content was appropriate and organized.
(Required)
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
4. The time allotted for the training was sufficient for my learning.
(Required)
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
5. The presentation technology (Zoom) was effective.
(Required)
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
6. I had the opportunity to provide feedback.
(Required)
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
7. I achieved my personal objectives by attending this conference.
(Required)
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
8. I will use the content presented at the Instructor Conference in my training program.
(Required)
Strongly agree
Agree
Neutral
Disagree
Strongly disagree
9. Overall Rating of the Conference
(Required)
Excellent
Above Average
Average
Below Average
10. What did you like most about this Conference?
(Required)
11. What can we do to improve the Conference?
(Required)
12. I found networking to be of value in this way. (Please describe)
(Required)
13. Please give specific examples of how you were able to positively impact the safety attitudes or actions of your students based on the knowledge they gained in one of your courses. [How has your training affected safety in the workplace?
(Required)
14. How will you apply in the classroom what you learned at this conference?
(Required)
15. I would like to see NPETE/CCCHST/NESHTA offer the following topics or types of programs in the future. (Please list)
(Required)
16. Additional Comments
Are you a CCCHST Member?
(Required)
Yes
No
Please complete the survey by clicking the Submit button below.
Please continue and answer the last five questions.
17. How successfully have you used CCCHST curriculum and training resources this year?
(Required)
I used it consistently as provided without modifications.
I used it consistently with modifications for my local students.
I did not use it this year but plan to use it next year.
Haven’t used it.
18. When your students evaluate your training, how does your program rate?
(Required)
High
Average
Below Average
19. What percent of the knowledge and skills that you gained from Train-the-Trainer and CCCHST Refresher programs have you been able to directly apply to teaching this year? (Please provide an estimate)
(Required)
20. Have you contacted PETE Staff or Instructors, for technical assistance in the last year? Yes or no. If yes, how often?
(Required)
21. To what extent has your training changed student behavior enabling them to identify workplace hazards? (Please cite an example)
(Required)
Please provide photos from your training that PETE and NIEHS may want to share. Upload them below or send them to Hilary Kesseler at: hkesseler@nationalpete.org.
Max. file size: 256 MB.