Essentials for Healthy Homes Practitioner Course

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Essentials for Healthy Homes Practitioner Course

Post-Training Survey

Thank you for taking the Essentials for Healthy Homes Practitioner course. We would like to know how your participation in the course has impacted your work related to healthy housing. Please take a couple of minutes and complete the following evaluation form. If you have questions, contact Judith Agyeman at 443-539-4167 or at jagyeman@nchh.org. We will get back to you if we have any questions.

We will randomly select one submission received before May 13, 2008 and give the person a moisture meter valued at $385. Everyone who completes the form can receive a copy of CDC's Healthy Housing Reference Manual.

Name
Training Location and Date
Affiliation
Job Category
Address
City, State and Zip
Phone
E-Mail
Employer

	Yes, I would like a copy of the CDC Reference Manual.
	Yes, I want to be eligible for the drawing to receive the moisture meter.

1. Since the training, have you done any of the following at work?

(Check yes or no for each category a-f. If yes, please describe.)

a.	Worked with people outside your program to incorporate a Healthy Homes approach.	Yes	No
If Yes, please give an example:
b.	Talked with people in your program about a Healthy Homes approach.	Yes	No
If Yes, please give an example:
c.	Sought to change your program protocols to use a Healthy Homes approach in daily practice.	Yes	No
If Yes, please give an example:
d.	Worked to seek legislative or regulatory change to permit a Healthy Homes approach.	Yes	No
If Yes, please give an example:
e.	Requested funding or modified an agency budget for Healthy Homes initiatives (check Yes if you OR someone else in your agency did this).	Yes	No
If Yes, please give an example:
f.	Used printed materials from the Healthy Homes course (eg. codes, visual assessment, resource list).	Yes	No
If Yes, please give an example:

2. Have you experienced any of the following barriers to integrating healthy homes information into your practice?

(Check all that apply)

Insufficient funding

Inadequate management support

Limited resident interest

Need more information to use practices

Lack of time

No rules or codes to use

Unsure of how to use information for action

Other

3. Do you have any colleagues who would benefit from the Healthy Homes training?

Yes No

If yes, please list their job positions:

4. Do you perform home visits as part of your routine practice?

Yes No

If no, please skip questions 5 - 10.

5. For each of the following problems (a – m), please check any of the following actions that you have taken on a home visit as a result of completing the course. (Check all that apply)

6. Please give up to two examples of times you have used these practices as part of your daily work.

7. How much have your clients or constituents benefited from the knowledge and skills you gained through the training?

8. Since taking the healthy homes training, how many of your clients would you estimate have benefited from the knowledge and skills you gained in the training? (Please use a whole number, e.g. 25, 65, 90, for your best estimate of the number of clients who have benefited.)

Estimated number of clients who have benefited:

9. Do you carry a visual inspection checklist or assessment form on home visits?

Yes No

If no, why not?

10. Do you bring any of the following tools or equipment on a home visit? (Check all that apply)

Moisture Meter

Baits/Traps

Radon kits

Lead hazard sampling

CO alarm

None of the above.

If none, why not?

11. Are there any topics, exercises, or references that you think we should add to the training?

12. Do you have any additional comments?

10320 Little Patuxent Parkway, Suite 500 • Columbia, MD 21044
Phone: 410.992.0712 • Fax: 443.539.4150