Form Approved
OMB No. 0920-1006
Exp. Date: 01-31-2016
CDC Work@Health®
Trainee Reaction Survey BLENDED MODEL
Public reporting of this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1006).
Respondents/Sources |
Method |
Content |
Timing |
Respondents |
Time per Respondent |
Trainees selected for the Work@Health® Blended Training Model |
Work@Health® Trainee Reaction Survey (conducted in paper form) |
|
At the conclusion of training |
100 |
0.25 hrs |
This is a planned paper and pencil survey of employers who participated in the Blended training model of the Work@Health® program. Work@Health® is a program that trains employers in the design, implementation, and evaluation of worksite health and wellness programs. This survey will be administered immediately after the training has been completed to evaluate the effectiveness of the Work@Health® training.
Introduction
Thank you for your participation in the training for the CDC Work@Health® program. This survey asks about your thoughts and opinions of the training. Your responses will help us make the Work@Health® program most useful for employers. This project is funded by the Centers for Disease Control and Prevention. Many parts of the project are being managed by ASHLIN Management Group (ASHLIN). ASHLIN is a private sector consulting firm with a focus in the area of health and human services based in Greenbelt, MD. They are helping CDC implement the Work@Health® Program. The Public Health Management Corporation (PHMC), a non-profit, public health institute located in Philadelphia, PA and part of the ASHLIN Team designed this survey.
Informed Consent
Before you get started, we’d like to give you some more information to help you decide whether or not you would like to participate.
Your participation is voluntary, and you may skip any questions you do not want to answer. You may also choose to end the survey at any time.
The survey is designed to take about 15 minutes.
There are no right or wrong answers or ideas – we want to hear about YOUR experiences and opinions.
All of the comments you provide will be maintained in a secure manner. We will not disclose your responses or anything about you unless we are compelled by law. Your responses will be combined with other information we receive and reported in aggregate as feedback from all respondents. In our project reports, your name and your employer’s name will not be linked to the information or comments you provide.
There are no risks or benefits to you personally for participating in this survey.
CDC is authorized to collect information for this project under the Public Health Services Act.
We are interested in your comments so that we can improve the Work@Health® program for future participants. If you have any questions, you can contact Jennifer Lauby. Her phone number is 215-985-2556 and her email is Jennifer@phmc.org.
Online training
The first questions are about the Work@Health® training that you completed online. Thinking about the Work@Health® training you just completed online, please indicate to what degree you agree or disagree with each of the following statements.
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Strongly Disagree |
Disagree |
Neither Disagree Nor Agree |
Agree |
Strongly Agree |
Learning Environment |
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Delivery |
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The next set of questions are about the training activities that you participated in during the online training. Please indicate how useful you found each of the following training activities:
How useful were: |
Not at all Useful 1 |
Of little use 2 |
Moderately useful 3 |
Useful 4 |
Extremely Useful 5 |
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In-person training
The next set of questions is about the in-person Work@Health® training in which you participated. Thinking about the Work@Health® in-person training you just completed, please indicate to what degree you agree or disagree with each of the following statements.
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Strongly Disagree |
Disagree |
Neither Disagree Nor Agree |
Agree |
Strongly Agree |
Learning Environment |
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5 |
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Delivery |
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The next set of questions are about the training activities you participated in during the in-person training. Please indicate how useful you found each of the following in-person training activities:
How useful were: |
Not at all Useful 1 |
Of little use 2 |
Moderately useful 3 |
Useful 4 |
Extremely Useful 5 |
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The next group of questions is about your overall impressions of the training. For each question, please indicate the degree to which you agree or disagree with the following statements.
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Strongly Disagree |
Disagree |
Neither Disagree Nor Agree |
Agree |
Strongly Agree |
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1 |
2 |
3 |
4 |
5 |
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The next group of questions is about your perceptions of the individual training modules.
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Strongly Disagree |
Disagree |
Neither Disagree Nor Agree |
Agree |
Strongly Agree |
53a. The learning objectives for the Making the Business Case module were clear. |
1 |
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3 |
4 |
5 |
53b. The learning objectives for the Assessing Your Worksite module were clear. |
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5 |
53c. The learning objectives for the Building Leadership Support module were clear. |
1 |
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5 |
53d. The learning objectives for the Developing Policy, Benefit, and Environmental Supports module were clear. |
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5 |
53e. The learning objectives for the Designing Effective Communications module were clear. |
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5 |
53f. The learning objectives for the Evaluating Your Program module were clear. |
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5 |
53g. The learning objectives for the Planning and Designing Your Program module were clear. |
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53h. The learning objectives for the Implementing and Sustaining Your Program module were clear. |
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5 |
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Strongly Disagree |
Disagree |
Neither Disagree Nor Agree |
Agree |
Strongly Agree |
54a. The level of detail in the Making the Business Case module was appropriate. |
1 |
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5 |
54b. The level of detail in the Assessing Your Worksite module was appropriate. |
1 |
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5 |
54c. The level of detail in the Building Leadership Support module was appropriate. |
1 |
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5 |
54d. The level of detail in the Developing Policy, Benefit, and Environmental Supports module was appropriate. |
1 |
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5 |
54e. The level of detail in the Designing Effective Communications module was appropriate. |
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54e. The level of detail in the Evaluating Your Program module was appropriate. |
1 |
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5 |
54g. The level of detail in the Planning and Designing Your Program module was appropriate. |
1 |
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5 |
54h. The level of detail in the Implementing and Sustaining Your Program module was appropriate. |
1 |
2 |
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5 |
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Not at all Informative |
Not Very Informative |
Somewhat Informative |
Very Informative |
55a. How informative was the Making the Business Case module. |
1 |
2 |
3 |
4 |
55b. How informative was the Assessing Your Worksite module. |
1 |
2 |
3 |
4 |
55c. How informative was the Building Leadership Support module. |
1 |
2 |
3 |
4 |
55d. How informative was the Developing Policy, Benefit, and Environmental Supports module. |
1 |
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3 |
4 |
55e. How informative was the Designing Effective Communications module. |
1 |
2 |
3 |
4 |
55f. How informative was the Evaluating Your Program module. |
1 |
2 |
3 |
4 |
55g. How informative was the Planning and Designing Your Program module. |
1 |
2 |
3 |
4 |
55h. How informative was the Implementing and Sustaining Your Program module. |
1 |
2 |
3 |
4 |
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Not at all Useful |
Not Very Useful |
Somewhat Useful |
Very Useful |
56a. How useful was the Making the Business Case module. |
1 |
2 |
3 |
4 |
56b. How useful was the Assessing Your Worksite module. |
1 |
2 |
3 |
4 |
56c. How useful was the Building Leadership Support module. |
1 |
2 |
3 |
4 |
56d. How useful was the Developing Policy, Benefit, and Environmental Supports module. |
1 |
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3 |
4 |
56e. How useful was the Designing Effective Communications module. |
1 |
2 |
3 |
4 |
56f. How useful was the Evaluating Your Program module. |
1 |
2 |
3 |
4 |
56g. How useful was the Planning and Designing Your Program module. |
1 |
2 |
3 |
4 |
56h. How useful was the Implementing and Sustaining Your Program module. |
1 |
2 |
3 |
4 |
Finally we would like to know your thoughts and suggestions for how the Work@Health® program can be improved.
Did you experience any technical difficulties with the online training?
_____ a. Yes
_____ b. No
If Yes, please explain: ________________________________________________________________________
What changes, if any, would you recommend to the Work@Health® training? For example, would you recommend changes to the objectives, activities, assessments, materials or format of the training?
______________________________________________________________________________________
______________________________________________________________________________________
Topics that were covered in the Work@Health® training included making the case for a healthy worksite, leadership and motivation, data collection methods and tools, health promotion and safety, and program evaluation. What additional topics do you think should be covered in a worksite health and wellness training?
______________________________________________________________________________________
______________________________________________________________________________________
How did you learn about the Work@Health ® program?
○ Through a business association ○ Website
(e.g., Small Business Association)
○ Letter in the mail ○ Newspaper
○ Radio ○ Word of mouth
○ Colleague ○ CDC
○ ASHLIN Management Group ○ Other (please describe): _________________
What would encourage or motivate other employers/others in your position to attend a Work@Health® training?
______________________________________________________________________________________
______________________________________________________________________________________
What is the best way to reach other businesses like yours and tell them about the Work@Health® program?
______________________________________________________________________________________
______________________________________________________________________________________
What was the most important lesson or skill that you learned from the Work@Health® training?
______________________________________________________________________________________
______________________________________________________________________________________
What did you like least about the Work@Health® training?
______________________________________________________________________________________
______________________________________________________________________________________
What did you like most about the Work@Health® training?
______________________________________________________________________________________
______________________________________________________________________________________
Employee Characteristics
Please describe your position in your business
○ CEO/President/Owner ○ VP
○ Director, HR ○ Director, Benefits
○ Wellness Manager ○ Environmental Health and Safety
○ Union/Labor Representative Representative
○ Other (specify): ________________________
Created by ASHLIN Management Group specifically and exclusively for the Work@Health Project, funded by the Centers for Disease Control and Prevention.
File Type | application/msword |
File Title | DRAFT PILOT TRAINING: HANDS-ON EVALUATION |
Author | schwarz-john |
Last Modified By | Lang, Jason (CDC/ONDIEH/NCCDPHP) |
File Modified | 2015-12-17 |
File Created | 2015-12-17 |