POST-TRAINING QUESTIONNAIRE

Name of Training: _________________________________ Training
Date:_______________

Please indicate how strongly you agree or disagree with each statement
by circling a number between 1 and 5. 1 means you disagree completely. 5
means you agree completely. If the question is not applicable, select
NA.

	Completely Disagree	Generally Disagree	Neither Agree nor Disagree
Generally Agree	Completely Agree	Not Applicable

The training significantly increased my awareness of the problems/issues
addressed in the training.	1	2	3	4	5	NA

The training significantly increased my understanding of the material
covered in the training.	1	2	3	4	5	NA

The training addressed all of my major questions regarding the training
topic.	1	2	3	4	5	NA

The training significantly improved my ability to carry out my
activities (e.g., activities at my job, in my community).	1	2	3	4	5	NA

It is extremely important for me to implement what I learned in this
training.	1	2	3	4	5	NA

I will definitely use what I learned in the training within the next six
months.	1	2	3	4	5	NA

There are no major barriers that will prevent me from carrying out what
I learned in the training (e.g., institutional, resource, or other
constraints).	1	2	3	4	5	NA



The public reporting and recordkeeping burden for this collection of
information is estimated to average 10 minutes per response. Send
comments on the Agency's need for this information, the accuracy of the
provided burden estimate, and any suggested methods for minimizing
respondent burden, including through the use of automated collection
techniques to the Director, Collection Strategies Division, U.S.
Environmental Protection Agency (2822T), 1200 Pennsylvania Ave., NW,
Washington, D.C. 20460. Include the OMB control number in any
correspondence. Do not send the completed form to this address.

OMB Control No. 2030-XXXX

Approval Expires xx/xx/xx

EPA Form 6600-03    

