Attachment_(6)_Training_Evaluation_Form_(Blank).doc

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Quality Assurance Services
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15JPSS18R00000002
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Attachment 6 - Training Evaluation Form (Blank)

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Training Session Evaluation Form

Contractor Name:
Case Name:
Training Date:
Training Location:
Trainer Name:
OLS Case Manager:
Present:
Contractor Project Manager:
Present:

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Yes

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No

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Yes

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No

Contractor Representative(s):
Title:
Number of Coders:
Coder Experience (Check One):

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Experienced FORMCHECKBOX Not Experienced FORMCHECKBOX Mixed Experience

Type of Coding (Check One): FORMCHECKBOX Mini (4-Field) FORMCHECKBOX Header FORMCHECKBOX Bibliographic FORMCHECKBOX Other:

Section I. Training Environment Evaluates the physical conditions of the training that may impact participant attention.

Comfort: Sufficient space and a work surface were provided for each participant.
Rating (Check One):

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Good

Comment:

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Fair

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Poor

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Not applicable

Temperature: The temperature in the room was comfortable (not too hot or too cold).
Rating (Check One):

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Comment:

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Controlled Environment: Distractions or disruptions were controlled to prevent interruption of the training session.
Rating (Check One):

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Comment:

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Visual: The Instructor and any visual aids used were clearly visible to all participants.
Rating (Check One):

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Comment:

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Sound: There was no difficulty hearing the instructor, regardless of a participant's location in the room (i.e., participants in the back of the room could hear as clearly as the participants in the front).
Rating (Check One):

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Comment:

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Section II. Presentation of Training Material Evaluates the presentation of the documentation, the approach of the Instructor and training tools utilized.

Documentation

A manual was provided to every participant.
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Yes

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No

Comment:

Sample Documents were provided in the manual.
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Yes

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Comment:

The sections in the manual were discussed in a logical sequence.
Rating (Check One):

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Comment:

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Each section in the manual was reviewed thoroughly.
Rating (Check One):

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Comment:

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Special Considerations for the specific document collection were identified and thoroughly reviewed.
Rating (Check One):

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Comment:

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Each Sample Document was thoroughly reviewed and case specific coding practices were identified.
Rating (Check One):

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Comment:

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Instructor

The Instructor demonstrated a thorough knowledge of the coding procedures applicable to this case's document collection.
Rating (Check One):

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Comment:

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The Instructor was organized in their presentation of the material.
Rating (Check One):

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Comment:

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The Instructor encouraged questions from the coders and adequately responded to all questions.
Rating (Check One):

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Comment:

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The Instructor maintained control over the course of the session. Unrelated tangents were avoided and the focus was directed on the training.
Rating (Check One):

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Comment:

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The Instructor presented the material at a level consistent with the level of the coders' experience.
Rating (Check One):

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Comment:

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The Instructor successfully achieved the active participation of the coders in the training session.
Rating (Check One):

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Comment:

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Training Tools

Training tools, such as practice documents or visual aids (e.g. overhead slides) were utilized.
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Yes

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Please describe:

The training tools utilized sufficiently demonstrated the coding procedures and rules applicable to this document collection.
Rating (Check One):

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Comment:

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Section III. Coder Comprehension Evaluates how well the coders understood the case specific documentation presented.

The coders were attentive to the Instructor and the material being presented throughout the training session.
Rating (Check One):

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Comment:

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The coders appeared to fully comprehend all sections of the manual and the coding procedures applicable to each section.
Rating (Check One):

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Comment:

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The coders asked questions about areas not clearly explained in the manual or illustrated in the Sample Documents.
Rating (Check One):

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Comment:

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Section IV. Time Usage Evaluates how well the scheduled training time was used.

A training agenda/schedule was provided at the start of the session.
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Yes

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Comment:

The training session was completed within the scheduled time frame.
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Yes

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Comment:

Sufficient time was allocated to the review of each section of the manual.
Rating (Check One):

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Comment:

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All topics were fully reviewed without rushing to maintain the training schedule.
Rating (Check One):

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Comment:

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Following break periods, all participants returned to the session on time and were ready to continue.
Rating (Check One):

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Comment:

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The length of the training was appropriate for the experience level of the coders participating.
Rating (Check One):

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Comment:

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Section V. Pending Issues

Coding Alerts are to be issued to address specific problem areas.
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Yes

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Please list the pending Alerts below:

1.

2.

3.

4.

Additional Sample Documents are to be issued to address specific documents or issues.
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Yes

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Please list the pending Samples below:

1.

2.

3.

4.

Other Action Items. Please use the space provided below to identify any other items needing to be addressed by the LS Contractor or the Case Manager.

1.

2.

3.

4.

Summary of Observations or Comments. Please use the space below to provide any other general observations or comments the Case Manager may find relevant.

U.S. Department of Justice

Quality Assurance Services

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