Training Evaluation And Feedback Form

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National Imaging Associates – Provider Relations
Training Evaluation and Feedback Form
Geisinger Health Plan
Training Session/Module
Presenter
Date
Please check all responses that apply (For on-line form: double click the box and click “checked” then ok)
The session/module was:
Informative
Too Slow
Elementary
Too Quiet
Too Detailed
Too Fast
Advanced
Too Formal
Too General
Well Paced
Appropriate
Boring
The most outstanding feature(s) of this session was:
I was trained on what I was expecting
Yes
No (please explain)
Improvements I suggest for this training:
Additional training or topics that need
further reinforcement:
Fill in the
The presenter displayed knowledge of the material
appropriate
circle
The presenter was able to hold my attention
My overall rating of the presenter is
The course objectives were explained clearly
The course content matched the stated objectives
The materials handouts and exercises helped me understand better
My overall rating of the training is
Additional Comments/Questions
We value your feedback and appreciate you taking the time to complete this evaluation. Please fax
completed form to 1-888-656-6350. Thank you!!

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00 votes

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