JHASIR Training Survey

Fast Track Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

JHASIR Training Survey

OMB: 0704-0553

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JHASIR Training Survey
Thank you for participating in the DoD Hearing Center of Excellence JHASIR Training Survey.
Your feedback is very important to us and will be used to improve JHASIR Training.
OMB Control Number: 0704-0553
Expiration Date: XX/XX/XXXX
AGENCY DISCLOSURE NOTICE
The public reporting burden for this collection of information, OMB # 0704-0553 is estimated to
average 3 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. Send comments regarding the burden estimate or burden reduction
suggestions to the Department of Defense, Washington Headquarters Services, at whs.mcalex.esd.mbx.dd-dod-information-collections@mail.mil. Respondents should be aware that
notwithstanding any other provision of law, no person shall be subject to any penalty for failing to
comply with a collection of information if it does not display a currently valid OMB control number.

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JHASIR Training Survey
1. Did the course content explain information and concepts clearly?
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree

2. How would you rate the quality of multimedia (audio, video) in the course?
Extremely helpful
Very helpful
Somewhat helpful
Not so helpful
Not at all helpful

3. How would your rate the overall quality of the training course?
Extremely helpful
Very helpful
Somewhat helpful
Not so helpful
Not at all helpful

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4. How would you rate your instructor's knowledge of the material?
Far above average
Above average
Average
Below average
Far below average

5. How would you rate your instructor's presentation of the course content?
Extremely clear
Very clear
Somewhat clear
Not so clear
Not at all clear

6. Do you believe JHASIR will be beneficial to your patient care and/or other services you provide?
Very likely
Likely
Neither likely nor unlikely
Unlikely
Very unlikely

7. How will you utilize JHASIR to conduct your current activities? (Please do not include any personal
identifiable information)

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File Typeapplication/pdf
File TitleView Survey
File Modified2022-04-20
File Created2020-05-21

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