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First Name:

Last Name:

Company Name:

Training Title:

Email Address:


Scale: 1 – strongly disagree; 2 – somewhat disagree; 3 – neither agree nor disagree; 4 – somewhat agree; 5 – strongly agree

1. Did you experience an increase in income, hours worked, or job title change as a result of the training?

 Yes No

2. Do you feel you are utilizing the skills acquired in the training? (1 lowest, 5 highest)

 1 2 3 4 5

3. Do you feel you have increased your skill level as a result of the training? (1 lowest, 5 highest)

 1 2 3 4 5

4. Do you feel your employment situation has improved as a result of the training (1 lowest, 5 hightest)

 1 2 3 4 5

5. Do you feel you are better equipped to do your job as a result of the training? (1 lowest, 5 highest)

 1 2 3 4 5

6. Were you retained by the employer beyond the probationary period?

 Yes No

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