ASSESSMENT

Thank you for filling out our evaluation. It is anonymous and confidential. The results serve to improve the quality of our services.

Training topic: *Determination of eligibility under the category of deafblindness

Training date

Participant information *Father, primary caregiver, family memberDisabled personCollege studentProfessionalStudentOther:

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Age

Other:

Do you serve students with deafblindness? *YeahNo

How many?

Age:0-1112-1516-2118 or moreHe is at schoolHe left school

What is the primary diagnosis of the person I see or work with:

Town *

Race: *White/CaucasianAfrican/AmericanNative AmericanTwo (2) or more racesNot disclosed

Ethnicity: *Hispanic or LatinoNot Hispanic or LatinoNot disclosed

1. The training helped me increase my knowledge, understanding and ability on the subject. *1 Poor2 Regular3 Good4 Excellent

2. The information received is useful in my work and/or daily life *1 Poor2 Regular3 Good4 Excellent

3. The material used in the presentation is appropriate and up to date *1 Poor2 Regular3 Good4 Excellent

4. I can apply the information received to my situation *1 Poor2 Regular3 Good4 Excellent

5. The resources showed mastery of the subject *1 Poor2 Regular3 Good4 Excellent

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