University of Pittsburgh: Pennsylvania Child Welfare Training Program

Consultant & Trainer Information

Confidential Trainer Feedback form

Workshop:
Trainer:
Email:
Date(s):	xx/xx/xxxx
Location:

Please provide us with an honest assessment of your training session. The feedback provided will assist in improving the quality of trainign to staff who server children and families throughout Pennsylvania.

PRE-TRAINING

1.	Contact with the Training Delivery Specialist	Satisfied	Not Satisfied
2.	Confirmation of Training	Satisfied	Not Satisfied
3.	Trainer supplied with information about the training needs, multi-cultural issues, and participants. (County Specific Training only)	Satisfied	Not Satisfied
4.	Training Box Review (were all contents available as requested?) Handouts Key Sign-In Invoice Overheads Evaluations Pre-Paid Envelope	Satisfied	Not Satisfied

Comments:

TRAINING DAY

1.	Access to the building with adequate time to set up for training	Satisfied	Not Satisfied
2.	Atmosphere/Room Setup	Satisfied	Not Satisfied

3.	Does all equipment work? (If video does not work, please put a post-it on the video) Videos/DVDs Audio TV/VCR DVD Player Overhead Projector Easels Keys
4.	Adequate supply of the following in the training room: Water Flip Chart Paper Tape Markers Cups Overhead Projector Bulbs Cleaning Supplies

5.	Availablility of contact the day of the workshop with the Training Delivery Specialist	Satisfied	Not Satisfied
6.	Accessibility for Special Needs	Satisfied	Not Satisfied
7.	Any problems participants addressed with you at the workshop that the Training Program should be aware of?	Yes	No
8.	If Yes, does that person or county desire to be contacted? Name: County:	Yes	No

9.	How many participants were at the Training?

10.

Were there any confirmation or prework problems?

Yes

11.

Comments:

POST TRAINING

1.	Did you remember to mail everything back that was supplied for the training?: Invoice Sign-In Overheads Key Videos/DVD Evaluations

2.	Would you like a personal follow up call from your Training Delivery Specialist?	Yes	No
3.	Were there any concerning behaviors of participants?	Yes	No

Comments: