Training Evaluation Form

Name of Training

Board Training-Module 1: Board Roles & Responsibilities
Board Training-Module 2: Strategic Board Composition, Recruitment, Orientation and Engagement
Board Training-Module 3: Strategic Planning and Strategic Thinking
Board Training-Module 4: Financial Oversight
Board Training-Module 5: Quality Oversight
Board Training-Module 6: Oversight of Health Center Risks
Board Training-Module 7: CEO Oversight and Partnership
Board Training-Module 8: Policies
COM Talks: Brand Reputation and Management
COM Talks: Crisis Communications Planning
COM Talks: Myth Busting Strategies
COM Talks: Outreach Strategies for Vulnerable Populations
COM Talks: Virtual Fundraising Tools and Tactics
COM Talks: Web Metrics and Google Analytics
De-escalation and Conflict Management, Part 1 and/or 2
Managing Risk When Administering the COVID-19 Vaccine with FTLF
Virtual Operational Site Visit Preparation-Clinical Staff
Virtual Operational Site Visit Preparation- Fiscal
VIrtual Operational Site Visit Preparation- Admin-Goverance
Diabetes Management and Medication Adherence Using Telehealth in Older Adults
Blood Pressure Management
340B Best Practices in Self-Auditing
COVID-19 Update with VDH
Workforce Planning with ACU
Revenue Cycle Management
HCCN/Population Health Data
COM Talks: Gen Z and Millenials: How their Attitudes and Beliefs Can Impact FQHCs
COM Talks: Sharable, Clickable, Likable: The State of Social Media in 2021

Date You Participated in the Training

Question 1

This training met my expectations. Type a number in the field using the 5 point scale below: 5=Strongly Agree, 4=Agree, 3=Neutral, 2=Disagree, 1=Strongly Disagree

5
4
3
2
1

Question 2

The materials used for this training were useful and relevant. Type a number in the field using the 5 point scale below: 5=Strongly Agree, 4=Agree, 3=Neutral, 2=Disagree, 1=Strongly Disagree

5
4
3
2
1

Question 3a

Would you like to see more training offered on this topic in the future? If Yes, please list in 3b below.

Yes
No

Question 3b

Please list those areas of training.

{name}

Question 4

I learned new information at this training. Type a number in the field using the 5 point scale below: 5=Strongly Agree, 4=Agree, 3=Neutral, 2=Disagree, 1=Strongly Disagree

5
4
3
2
1

Question 5

I will be able to use or apply the information you learned in this training in your work? Type a number in the field using the 5 point scale below: 5=Strongly Agree, 4=Agree, 3=Neutral, 2=Disagree, 1=Strongly Disagree

5
4
3
2
1

Question 6

What information did you consider interesting, new, or meaningful during this workshop?

{name}

Question 7

What part of the workshop should be changed to improve learning?

{name}

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