1 Start 2 Complete What was your knowledge on [this topic] BEFORE this T/TA activity? * 5 - Extremely knowledgeable 4 - Very knowledgeable 3 - Somewhat knowledgeable 2 - Not so knowledgeable 1 - Not at all knowledgeable What was your knowledge on [this topic] AFTER this T/TA activity? * 5 - Extremely knowledgeable 4 - Very knowledgeable 3 - Somewhat knowledgeable 2 - Not so knowledgeable 1 - Not at all knowledgeable Based on your level of knowledge about [this topic] prior to the T/TA activity, how would you rate changes to your knowledge following or as a result of the T/TA activity? * 5 - Extremely high level of knowledge gained 4 - High level of knowledge gained 3 - Moderate level of knowledge gained 2 - Moderate level of knowledge gained 1 - No knowledge gained How confident are you that you will be able to apply information from this T/TA activity at your health center/organization? * 5 - Extremely high level of confidence 4 - High level of confidence 3 - Moderate level of confidence 2 - Moderate level of confidence 1 - No confidence How satisfied are you with this T/TA activity? * 5 - Extremely satisfied 4 - Highly satisfied 3 - Moderately satisfied 2 - Minimally satisfied 1 – Not satisfied Leave this field blank
