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DOE-HDBK-1201-97
APPENDIX A
EXAMPLE 5
Trainee Post-Training Evaluation
NAME:
DATE:
COURSE/PROGRAM TITLE:
REVIEWED BY:
DATE:
INSTRUCTIONS: This post-training evaluation questionnaire is designed to obtain
information that will maintain and improve the quality of our training programs. Based on
what you now know about your job in relation to the training you received in this course,
please rate the following performance objective/task statements by circling the appropriate
number on the rating scales.
TASK STATEMENT: Conduct surveillance test of instrument isolation valves
1.
Knowledge--Training provided knowledge of
N/A
1
2
3
Does not apply to
Parts, tools,
#1 plus the
#1 and #2 plus the
my job
equipment and
procedures used
operating principles
simple facts used
to complete
involved in performing
on the job
the task
the task
2.
Performance--Training provided the skills needed to perform
N/A
1
2
3
Does not apply to
Simple parts
The task with
The task without
my job
of the task
supervision
supervision
3.
Job Relatedness--Task trained on related to my job
N/A
1
2
3
4
5
Does not
Applies very
Applies
Applies to
Applies to
Applies to all
apply to my
little to my
somewhat to
about half of
most of my
of my job
job
job
my job
my job
job
A-25


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