Emergency Preparedness and Response

PHPRCP TRAINING

CERTIFICATION PROGRAM

Have questions? Need assistance? Please contact the Public Health Emergency Preparedness and Response Branch at 951-358-7100.

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* Required Fields

* FIRST NAME :

* LAST NAME :

* E-MAIL:

COURSE:

DATE:

1. Were the program objectives clearly stated?

Yes No N/A

2. Did the course meet the objectives?

Yes No N/A

3. What did you particularly like about the training program?

4. What did you particularly dislike about the training program?

5. Please check the appropriate rating in your evaluation of the online training program:
	Strongly Agree	Agree	Disagree	Strongly Disagree	N/A
a. Registration form was easy to follow and submit
b. Pre-test and post-test were easy to follow and submit
c. Instructions were clear and easy to follow
d. The process was clear and accessible
e. I feel comfortable with the SEMS/NIMS/ICS and would be able to function in the Department Operation Center (DOC) in the event of a local emergency or disaster.

	Excellent	Good	Fair	Poor	N/A
6. Overall Evaluation
7. Additional Comments:

THANK YOU FOR YOUR PARTICIPATION!