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Using the HICS Tools in Incident Action Planning - The 2012 ...

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2011 Integrated Medical, Public Health Preparedness and Response Tra<strong>in</strong><strong>in</strong>g<br />

May 2, 2011<br />

Name of Participant: (Optional) ________________________________ Facility/Organization____________________<br />

Directions:<br />

On a scale of 1 to 5, rate each category by circl<strong>in</strong>g <strong>the</strong> number that best reflects your op<strong>in</strong>ion.<br />

5 = excellent, 4 = above average, 3 = average, 2 = fair, 1 = poor.<br />

Overall program rat<strong>in</strong>g:<br />

Excellent Above average Average Fair Poor<br />

Based on your published materials, how well were <strong>the</strong> objectives met<br />

Exceeded expectations Equal to expectations Less than expected<br />

To what extent did <strong>the</strong> physical environment contribute to <strong>the</strong> learn<strong>in</strong>g experience 5 4 3 2 1<br />

Comments: _______________________________________________________________________________________________<br />

To what extent did <strong>the</strong> written materials contribute to <strong>the</strong> learn<strong>in</strong>g experience 5 4 3 2 1<br />

Comments:<br />

To what extent did <strong>the</strong> program provide you with useful <strong>in</strong>formation 5 4 3 2 1<br />

Comments: _______________________________________________________________________________________________<br />

Please rate <strong>the</strong> faculty on <strong>the</strong> same scale.<br />

Overall Teach<strong>in</strong>g Effectiveness of Effectiveness of<br />

Effectiveness Teach<strong>in</strong>g Methods Educational Materials<br />

Advanced <strong>HICS</strong> and IAP Plann<strong>in</strong>g<br />

5 4 3 2 1 5 4 3 2 1 5 4 3 2 1<br />

Comments:<br />

<strong>HICS</strong> – <strong>The</strong> Evolution Cont<strong>in</strong>ues<br />

5 4 3 2 1 5 4 3 2 1 5 4 3 2 1<br />

Comments:

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