CDC TRAIN Follow-Up Evaluation Tool

Attachment 5 - CDC TRAIN Follow-Up Evaluation

Form Approved

OMB# 0920-0017

Exp: xx/xx/XXXX

CDC TRAIN Follow-Up Evaluation Instrument

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1. Did you use anything you learned in this course in your work?

• Yes

• No

2. What factors kept you from using the content of this course in your work? Please select all that apply.

• None, I have used this content in my work

• I need additional training in the subject matter

• I did not remember the course content well enough to use it

• I did not have the resources I needed in my workplace

• I did not have the opportunities to use what I learned

• I did not have the time to use what I learned

• My supervisor did not support me in using what I learned

• My colleagues did not support me in using what I learned

• The course content was not relevant to my work

• Other, please specify:

3. What factors helped you use the content of this course in your work? Please select all that apply.

• I had reminders (e.g., job aids, tip sheets, or emails) of key learning concepts or skills

• I had the resources I needed in my workplace

• I had opportunities to apply what I learned

• My supervisor supported me in using what I learned

• My colleagues supported me in using what I learned

• Other, please specify:

• Not applicable, I did not use what I learned in this course in my work

4. What, if anything, did you use from this course? (Short answer)

5. As a result of this course, I have: (select all that apply)

• Not improved

• Maintained my competence

• Increased my competence

• Improved my performance

• Provided clinical interventions in practice

• Developed strategies I use in practice

• Other, please specify:

• Not applicable, I did not use anything from this course

6. How did you benefit your team because of what you learned? (select all that apply)

• I provided better communication across my interprofessional team(s) (any team with people from different professions)

• I shared information with colleagues to improve patient education

• I identified changes needed in practice

• I increased participation in shared decision making across my interprofessional team(s) (any team with people from different professions)

• Other, please specify:

• Not applicable, I did not learn from the course and/or it will not benefit my team

7. Have you recommended this course to anyone else?

• Yes

• No

Last Modified: 07/08/2025