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8-22-12 The Federal Response to Emergencies and Disasters - How Disability Fits

ADA Audio Conference Series

1. Overall, how satisfied are you with your experience in this program?

2. Please explain the reason for your overall satisfaction rating:

3. I learned about this session from:

4. Please let us know where you learned about the webinar, if you answered "other".

5. Below you will find a list of possible reasons that a person might have enrolled in this course. Please read them and then rank them in order of their importance to you, with #1 being of highest importance. Note: for the following table each column is restricted to a single answer across all rows.

	1	2	3	4	5
My employer / professional organization required me to take the course.	1	2	3	4	5
I was interested in the topic.	1	2	3	4	5
I need the continuing education credit.	1	2	3	4	5
To prevent potential law suits.	1	2	3	4	5
Other: Please explain in the text box below	1	2	3	4	5

6. Please add an additional reason you enrolled for the course here, or type in a more detailed description of your reason for enrolling, if you wish.

7. Please rate your level of satisfaction with these specific aspects of your educational experience with the presenters.

Space Cell	Very Satisfied	Satisfied	Neither Satisfied nor Dissatisfied	Dissatisfied	Very Dissatisfied	N/A
Knowledge of the presenter on the topic
Presentation organization
Scope or breadth of information presented
Adherence to the topic
How useful the material presented will be to you
How well the presentation materials supported your learning

8. My questions were answered to my satisfaction:

9. Please explain:

10. In terms of the technology used in this session, what worked and what did not work for you?

11. I will make changes in the way that I perform my work based upon the information presented to me in this session:

12. Specifically, one change I will make in the way that I do my work is:

13. I will seek additional information on this topic because I participated in this program:

14. If tomorrow a co-worker, family member or friend asked you what you learned in this session, what one or two points would you share?

15. What other related topics would you be interested in learning more about?

16. If you have other comments to make, please make them in this space.

If you would like to be contacted, please fill out your contact info below:

First Name

Last Name

Title

Company Name

Street Address

Apt/Suite/Office

City

State

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Email Address

Phone Number

Fax Number

Mobile Phone

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Would you like to join our listserv and/or receive our email newsletter to keep up on our news, updates, and tips?

Yes, add me to your list serv (we will not send unsolicited information) Include your email address in the contact information in the question above.
No thank you.