Part A) Identification

My Country is:

I am:

My Disability is:

Part B) General Comments

Please pick a number that most closely reflects how you feel about the following questions

1 = strongly disagree
2 = moderately disagree
3 = neutral
4 = moderately agree
5 = strongly agree.

The information in the training program was useful: Please Choose 1 2 3 4 5

The information was presented in a clear and effective manner Please Choose 1 2 3 4 5

Overall, I enjoyed the training program Please Choose 1 2 3 4 5

Part C) Detailed Feedback

What I liked most about this training program was

What I would change about this training program if I could

If I were to organize this training, I would do things:

If differently, how?

I would like to learn more about

For another training program I would suggest

The most important new information I you learned from this training was