Attachment C9 – Mine Rescue participants: Post-Training Questionnaire
	Form
	Approved 
	 OMB
	No. 0920-xxxx Exp.
	Date xx/xx/20xx 
	
	
| Place an “X” in the appropriate box. 
 
 | Strongly Disagree | Disagree | Neither | Agree | Strongly Agree | 
| 1. Today’s training… | |||||
| a) Included content relevant to mine rescue team members. | 
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| b) Covered knowledge and skills needed during a real mine emergency. | 
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| c) Reinforced knowledge and skills I learned during previous mine rescue training. | 
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| d) Made me more confident that I could correctly respond to a real mine emergency. | 
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| e) Helped prepare me to handle a real mine emergency. | 
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| f) Helped prepare me for a mine rescue competition. | 
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| g) Motivated me to learn more about mine rescue. | 
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| h) Motivated me to be generally more prepared for mine emergencies. | 
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| i) Helped me learn something that could be helpful during a real mine emergency. | 
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| j) Gave me new ways to think about mine rescue. | 
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| 2. I would recommend this training to… | 
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| a) Any mine rescue team member. | 
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| b) Anyone who has a genuine interest in mine rescue. | 
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| c) Other miners who I work with. | 
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| 3. Regarding the training exercise… | 
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| a) An event like the one presented in this exercise could happen in real life. | 
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| b) The simulated underground mine seemed realistic. | 
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| c) The simulated smoke in the exercise was realistic. | 
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| d) Objectives of the exercise were appropriate and clearly defined. | 
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| e) I understood the directions for the exercise. | 
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| f) The simulation is a good supplement to existing mine rescue training. | 
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| g) Training in a virtual environment is equivalent to training in an actual underground mine. | 
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| h) More virtual reality exercises like this should be developed and used. | 
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	Public reporting burden of
	this collection of information is estimated to average 3 minutes per
	response, including the time for reviewing and completing the
	collection of information. An agency may not conduct or sponsor, and
	a person is not required to respond to a collection of information
	unless it displays a currently valid OMB control number.  Send
	comments regarding this burden estimate or any other aspect of this
	collection of information, including suggestions for reducing this
	burden to CDC/ATSDR Information Collection Review Office, 1600
	Clifton Road NE, MS D-74, Atlanta, Georgia 30333; ATTN:  PRA
	(0920-xxxx). 
| Place an “X” in the appropriate box. Rate your confidence in the following areas, from “0” (Completely Unconfident) to “100” (Completely Confident) | Completely Unconfident | 
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				 | Completely Confident | |||||
| 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | ||
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| How confident are you that your team could, if required, do the following right now in a real mine emergency? | ||||||||||||
| 4. Make quick and effective decisions. | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 5. Agree on solutions to difficult problems encountered. | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 6. Readapt team strategy in response to unexpected changes in the environment. | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 7. Assist with each other’s responsibilities. | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 8. Maintain clear and efficient communication. | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 9. Monitor each other’s work to catch mistakes and provide feedback. | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 10. Maintain a level of trust and confidence in each other. | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 11. Maintain a shared understanding of each other’s responsibilities. | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 12. Maintain coordination in performing the tasks at hand. | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 13. Consider teammate input before taking an action. | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
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| How confident are you that your team captain could, if required, do the following right now in a real mine emergency? | ||||||||||||
| 14. Be decisive yet flexible | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 15. Be open to input from others | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 16. Have a calming influence on the group | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 17. Make logical decisions | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 18. Know the kinds of decisions that would need to be made | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 19. Know what to do to get the team out safely | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 20. Know what to do to get trapped/injured miners out safely | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
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| If you worked a different mine rescue problem in the VR simulator right now, how confident are you that your team could work the problem… | ||||||||||||
| 21. better than how you did during today’s exercise | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 22. almost perfect with reasonable time | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 23. perfectly with record time | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
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| How confident are you that your team could complete the following right now without any mistakes? | ||||||||||||
| 24. A mine rescue competition problem | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 25. A mine rescue problem in a virtual environment | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
| 26. Work assigned at a real emergency | 0 | 10 | 20 | 30 | 40 | 50 | 60 | 70 | 80 | 90 | 100 | |
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| Author | CDC User | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-27 |