OMB No. 0930-0197, Exp. Date 12/31/10 

Using Feasibility Assessment - Participant Post-Inventory

1. Please enter your e-mail address (used only for tracking responses - your answers will not be connected to your name).
E-mail Address

 2. Which of the following best describes the amount of course content that you reviewed? (choose one)
None A Little Some Most All

2a. If you did not review all of the course content, please describe why. (type in)

3. About how many TOTAL hours did you spend participating in the entire course, INCLUDING the time you spent in the discussion area and time spent on any activities? (type in)
Total Hours Spent

 4. How knowledgeable would you say you are about each of the following topics? (choose one for each item)
Not at All Knowledgeable Not Very Knowledgeable Somewhat Knowledgeable Fairly Knowledgeable Very Knowledgeable
Criteria to guide the selection of an appropriate prevention program from a set of evidence-based programs.
Determining the fit among organizational capacity, community conditions, and program requirements.
Applying a feasibility assessment model to a specific prevention program.
Program fidelity and adaptation.
Elements to consider in effective program replication and adaptation.

5. Please indicate whether you think each of the following statements is false or true. (choose one for each item)
Definitely False Probably False Probably True Definitely True
Program fidelity is the degree of fit between the developer-defined components of a program and its actual implementation in a given organizational or community setting.
A most suitable program is one that meets the needs you have identified and can be implemented with the greatest fidelity to the original program model given your target population, organizational capacity, and current community conditions.
A feasibility assessment is used to determine the best way(s) to modify a program during implementation.
Replication refers to the implementation of a program with substantive changes or adaptations.
When considering the adaptation of a program model, it is best to change the capacity of your organization before changing the program itself.

Definitely False Probably False Probably True Definitely True
Only an intentional or deliberate change to a program before or during implementation is considered an adaptation of the original model.
Adapting a program ensures you a better chance of achieving the same outcomes as the original program.
While program content is an essential core element of program delivery, the structure and delivery of the program are less critical to its overall success.
Additions, deletions, and modifications of program components are all examples of program adaptations.
Tracking program fidelity and adaptation throughout implementation is critical to understanding program impact.

6. Please rate your satisfaction with each of the following aspects of the course. (choose one for each item)
Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Very Satisfied
Quality of the information you received
Relevance of the information to your work
Resources and materials provided
Opportunity for questions and discussion

7. How likely are you to use the information or ideas that you received in the course? (choose one)
Not at All Likely Not Very Likely Somewhat Likely Very Likely

8. Overall, how satisfied are you with this distance learning course? (choose one)
Very Dissatisfied Somewhat Dissatisfied Somewhat Satisfied Very Satisfied

9. Would you recommend this distance learning course to other people who do the type of work that you do? (choose one)
No - Definitely would NOT recommend it No - Probably would NOT recommend it Yes - Probably WOULD recommend it Yes - Definitely WOULD recommend it

10. Based on your experience with this course, how interested would you be in taking another distance learning course on a different prevention-related topic? (choose one)
Not at All Interested Not Very Interested Somewhat Interested Very Interested

11. How easy was it to navigate around the various sections of the course? (choose one)
Very Difficult Fairly Difficult Fairly Easy Very Easy

11a. What in particular did you find most challenging and/or helpful when moving through the course? (type in)

12. What were the most helpful features of the course? (type in)

13. What were the least helpful features of the course? (type in)

14. Do you have any additional comments or recommendations for improving the course? (type in)

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