EHLR Module Community Engagement PRA-1
Page 1
EHLR Immersion Community Engagement Module Knowledge Assessment
	
	
	
Record ID
	 
  
Form
	Approved OMB No. 0923-0060
Exp. Date: 08/31/2022
	
EHLR Immersion Community Engagement Module Knowledge Assessment
	
Please complete the survey below. Thank you!
	
CDC/ATSDR estimates the average public reporting burden of this collection of information as 15 minutes per response, including the time for reviewing instructions, searching existing data/information sources, gathering and maintaining the data/information needed, 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 H21-8 Atlanta, Georgia 30333; ATTN: PRA (0923-0060).
	
Please provide job title:
Environmental Health Professional Environmental Professional
 Tribal
	Environmental Specialist Planner
Tribal
	Environmental Specialist Planner
Municipal/Tribal Agency Official Developer
Environmental Non-profit/Non-profit Citizen/community member
Student in public health, environmental science, planning, "STEM" discipline
 None
	of the
	above
None
	of the
	above
	
	
	
	
 
 Did
	the 8-hour
	expanded training
	in Community	Yes
Did
	the 8-hour
	expanded training
	in Community	Yes
Engagement increase your expertise in Community No Engagement overall?
	
If yes, can you estimate how much your expertise To a great extent (90-100%) increased? To a good extent (80-89%)
	 To
	a moderate
	extent (70-79%)
	To no extent (0%)
To
	a moderate
	extent (70-79%)
	To no extent (0%)
Not applicable (N/A)
	
Did the 8-hour expanded training in Community Yes Engagement increase your overall confidence to apply No community engagement tools and enhance your role in
 community
	engagement, such
	as in
	facilitating public
	meetings or health education?
community
	engagement, such
	as in
	facilitating public
	meetings or health education?
If yes, can you estimate how much your confidence increased?
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
 
  
Did Session 1, Overview of your EHLR Module 1 Yes
 pre-requisite
training provide a helpful refresher to	No
prepare you for the expanded, 8-hour Community
pre-requisite
training provide a helpful refresher to	No
prepare you for the expanded, 8-hour Community
Engagement training?
If yes, can you estimate how much the overview/refresher prepared you for the expanded training?
 
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
Did Session 2, Basics of Community Engagement help you Yes synthesize the principles of community engagement for No your current or future community engagement practice?
If yes, can you estimate how much your synthesis of the principles of community engagement increased?
 
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
Pertaining to Session 3, Knowing Your Community, was Yes the overview of the Community Engagement Playbook No useful for your work?
If yes, can you estimate how useful the overview of the Community Engagement Playbook may be for your work?
 
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
Pertaining to Session 3, was the review of Building Yes the Development Community (aka stakeholders) module No useful for your work?
If yes, can you estimate how useful Building the Development Community may be for your work?
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
Pertaining to Session 3, did the discussion of equity, Yes
 diversity,
inclusion, and inclusive communication	No
deepen your understanding of the connection of these
diversity,
inclusion, and inclusive communication	No
deepen your understanding of the connection of these
topics as well as your ability to work among diverse populations and cultures?
If yes, can you estimate how much your ability to work among diverse populations and cultures improved?
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
 Pertaining
to Session 3,
were the
environmental	Yes
Pertaining
to Session 3,
were the
environmental	Yes
justice resources (e.g., EJ Dashboard and EJ Index) No and expert presentation on environmental justice
useful for your work?
If yes, can you estimate how useful the environmental justice resources and presentation may be for your work?
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
Pertaining to Session 4, Community Engagement Tools, Yes was the general overview of the Action model, No Photovoice, and Community-based Participatory Research
 useful
for your
work?
useful
for your
work?
If yes, can you estimate how useful the general overview of community engagement tools may be for your work?
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
Pertaining to Session 4, did the Photovoice practice Yes
 session
deepen your understanding of and ability to	No
use imagery to engage communities or to call for
session
deepen your understanding of and ability to	No
use imagery to engage communities or to call for
action?
If yes, can you estimate your ability to incorporate or use Photovoice in your work?
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
Pertaining to Session 5, Action Model Practice, did Yes
 the
practice session using the Action Model on a real	No
site build your skills to a level that you feel
the
practice session using the Action Model on a real	No
site build your skills to a level that you feel
comfortable using this model in your current or future work?
If yes, can you estimate how comfortable you are to incorporate or adapt the Action Model in your current or future work?
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
Pertaining to Session 5, are the Action Model Yes
 Indicators
useful for
your current
or future
work?	No
Indicators
useful for
your current
or future
work?	No
If yes, can you estimate how useful the Action Model Indicators may be for your work?
 To a great extent
To a great extent	 To a good extent
To a good extent	 To a moderate extent
To a moderate extent	 To no extent
To no extent	 Not applicable
(N/A)
Not applicable
(N/A)
Please feel free to provide additional feedback about the immersive Community Engagement Training here (optional):
	 
		02/03/2023
		9:15am 
	
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| File Modified | 0000-00-00 | 
| File Created | 2023-09-25 |