VIIS Trainer Survey - Immunization

1. Which Trainer provided training to you and your staff?

Please rate the trainer(s) on the following:

2. Knowledge of the subject matter

3. Ability to explain how the system operates

4. What specifically did the trainer do well?

For example: Explained Historical Entry well.

5. How can the training be improved?

6. What did you learn in the training that you have been able to apply to your job?

Choose all which apply.

7. The length of the training was appropriate.

7a. If No, please explain:

8. Rate the usefulness of the training material.

9. What type of VIIS training did you receive?

10. How often do you use VIIS?

11. How satisfied are you with VIIS?

12. What enhancement(s) would you like to see added to VIIS?

What is your Org Code?

Date of your training?

Name

First Last

Phone

Email

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