Re"MRC"able Training Workshop Evaluation Form
Date of Conference
-
Month
-
Day
Year
Date
Location of Training Workshop you attended
*
Collinsville
Choose which best fits you
*
I am an MRC volunteer
I am an MRC Coordinator
I am a volunteer with another agency
I am a partner agency to an MRC
I am a health department staff member
Other
How did you hear about this conference?
*
Online
Email
Save the Date
Word of mouth
Other
Please briefly explain why you attended this conference.
*
We’d like to assess if you’ve gained useful knowledge from attending today's sessions. Please rate your knowledge of these topics (BEFORE) attending the training workshop (1 being no knowledge of the topic, 5 being very knowledgeable about the topic):
*
Rows
No Knowledge
Very Little Knowledge
Neutral
Knowledgeable
Very knowledgeable
N/A (did not attend)
Cultural Competency vs Cultural Humility
First Aid
CPR/AED
Basic Track: Where's the real benefit in ICS?!?
Advanced Track: Resilience in Crisis; Navigating Behavioral Health
Leadership Track: Stop the Bleed Train-the-Trainer
When Hurt Needs Hope
Advanced Track: Autism Awareness in Emergency Response
Leadership Track: What You Say Matters
Basic Track: Lip Service or Full Service
Advanced Track: Addressing the Needs of Children During Disasters
Leadership Track: Sustainability Planning
Mental Health Mitigation: Advanced Strategies for Crisis Readiness and Prevention
We’d like to assess if you’ve gained useful knowledge from attending the sessions today. Please rate your knowledge of these topics (AFTER) attending the training workshop (1 being no knowledge about the topic, 5 being very knowledgeable about the topic):
*
Rows
No Knowledge
Very Little Knowledge
Neutral
Knowledgeable
Very knowledgeable
N/A (did not attend)
Cultural Competency vs Cultural Humility
First Aid
CPR/AED
Basic Track: Where's the real benefit in ICS?!?
Advanced Track: Resilience in Crisis; Navigating Behavioral Health
Leadership Track: Stop the Bleed Train-the-Trainer
When Hurt Needs Hope
Advanced Track: Autism Awareness in Emergency Response
Leadership Track: What You Say Matters
Basic Track: Lip Service vs Full Service
Advanced Track: Addressing the Needs of Children During Disasters
Leadership Track: Sustainability Planning
Mental Health Mitigation: Advanced Strategies for Crisis Readiness and Prevention
We’d like to assess if you’ve gained useful knowledge from attending the sessions today. Please rate your knowledge of these topics (AFTER) attending the training workshop (1 being no knowledge about the topic, 5 being very knowledgeable about the topic):
Rows
No Knowledge
Very Little Knowledge
Neutral
Knowledgeable
Very knowledgeable
N/A (did not attend)
Cultural Competency
First Aid Training
CPR/AED Training
Incident Command System Overview
The Importance of Strike Teams
Stop the Bleed Train-the-Trainer
Points of Dispensing Sites (PODs)
Working with Individuals on the Autisim Spectrum
Public Speaking 101
Emergency Preparedness for the Access and Functional Needs Community
Pediatric Preparedness
Sustainability Planning
De-escalation Training
Has this conference contributed to your professional/educational background?
*
Yes
No
What day of the week would be preferable for an all-day training event in the future?
*
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
How would you improve this conference?
*
Choose the top 5 courses you believe would benefit all volunteers in the MRC to prepare them for both steady state and emergency response activities:
*
Introduction to the Incident Command System (ICS)
National Incident Management System (NIMS)
Mass Dispensing/POD Training
MRC 101/Orientation
HIPAA/Confidentiality
First Aid
Cardiopulmonary Resuscitation (CPR)
Psychological First Aid
I feel I would benefit from more training to understand my role as a volunteer when it comes to: (check all that apply)
*
Introduction to the Incident Command System (ICS)
National Incident Management System (NIMS)
Psychological First Aid
Mass Dispensing/POD Training
MRC 101/Orientation
HIPAA/Confidentiality
Bloodborne Pathogens
Emergency Response
Community Event Support
Public Information/Media
Animal Response
Search and Rescue
First Aid
Cardiopulmonary Resuscitation (CPR)
Cultural Competency
Access and Functional Needs Preparedness
Stop the Bleed/Bleeding Control
Active Bystander/Until Help Arrives
EOC Command
Back
Next
Certificate of Attendance
You must complete this section if you need a certificate of attendance for the event.
Are you requesting a certificate of attendance for this event?
Yes
No
Name
First Name
Last Name
Email
example@example.com
If you are not affiliated with an MRC, would you like information on how to join a local MRC?
*
Yes
No
Submit
Should be Empty: