Thursday, July 18, 2019

Learning Evaluation & Effectiveness

Form

Choose Your Role Participant

As :

SECTION 1:
ATTENDANCE
INFORMATION
SECTION A1: PARTICIPANT DETAILS
Participants' EDGENTA
Company Name HEALTHTRONICS SDN
BHD

Participants' Full Euli Edgar Bodaden Dauzon

Name

Participants' edgar@uemedgenta.uemnet.
Company Email com

Participants' Sr. Engineer

Designation

Participants' Staff 36862

No

Participants' 0146453808
Mobile No

Participants' 000009963867
Identi cation Card
I/C

1
Participants' UE4
Grade

Participants' HEALTHCARE
Division SERVICES

Participants' OPERATIONS CENTRAL

Department WORKSHOP

Participants' JURU
Location of
Working

Participants' BEMS
Section Name

SECTION A1.1: SUPERIOR DETAILS

Superiors' Full Haslin Ismail
Name

Superiors' haslin@uemedgenta.uemnet.
Company Email com

SECTION A2: COURSE DETAILS

Course Title [HEALTHCARE] O ce
Safety and O ce
Ergonomics

Venue Operations Central

Workshop (OCW, Juru)

Start Date Thursday, July 18, 2019

End Date Thursday, July 18, 2019

Full Day

SECTION 2 : REACTION
ASSESSMENT
SECTION A3: PROGRAM DETAILS
Training Types In-House

2
Training Type Description

Internal training organized by L&D / services within UEM Edgenta conducted by internal
Internal Training
trainer 
Internal training organized by L&D / services within UEM Edgenta conducted by  external
 In-House Training
training provider
 External Training External training organized by external parties referred to commonly as traning provider

Did the training No certi cates provided

issue a Certi cate
of Attendance or
Accomplishment?

SECTION A4: PROGRAM OBJECTIVES

Please rank from the scale of 1 to 4; 1 being lowest and 4 being highest

Section B Average 4
Calculation

SECTION A5: CONTENT RELEVANCE & COURSE MATERIALS

Please rank from the scale of 1 to 4; 1 being lowest and 4 being highest

Section C Average 4 - Highest

Calculation

SECTION A6: INSTRUCTOR / TRAINER COMPETENCY

Please rank from the scale of 1 to 4; 1 being lowest and 4 being highest

Section D Average 4
Calculation

SECTION A7: GENERAL ADMINISTRATION

Please rank from the scale of 1 to 4; 1 being lowest and 4 being highest

Section E Average 3
Calculation

SECTION A8: ADDITIONAL COMMENTS

SECTION 3 : PRE AND

POST ASSESSMENT
3
Pre-Evaluation 2
Average
Calculation

Post-Evaluation 2.60
Average
Calculation

Declaration

By clicking the submit button below,

I hereby agree and consent that UEM Edgenta Berhad (UEM Edgenta) may collect, use, disclose and
process my personal information set out in my application form, documents and/or otherwise provided
by me or possessed by UEM Edgenta, for one or more of the purposes as stated in UEM Edgenta’s
Personal Data Protection Terms and Conditions.

I certify that all of the information provided by me on this application is true and complete, and I
understand that if any false information, ommissions, or misrepresentations are discovered, my
records will be submitted for review by your superior.  

E-signature

SECTION 4 :
EFFECTIVENESS
ASSESSMENT
Participant Details
Participant Name Euli Edgar Bodaden Dauzon

Participant Sr. Engineer

Designation

Course Attended [HEALTHCARE] O ce Safety

and O ce Ergonomics

SECTION A9: EVALUATION BY SUPERIOR

Superiors' EDGENTA
Company Name HEALTHTRONICS SDN
BHD

4
Superiors' Full Haslin Ismail
Name

Superiors' haslin@uemedgenta.uemnet.
Company Email com

Superiors' Division HEALTHCARE

SERVICES

Superiors' OPERATIONS CENTRAL

Department WORKSHOP

Superiors' JURU
Location of
Working

Superiors' Section BEMS

Name

Declaration

By clicking the submit button below,

I hereby agree and consent that UEM Edgenta Berhad (UEM Edgenta) may collect, use, disclose and
process my personal information set out in my application form, documents and/or otherwise provided
by me or possessed by UEM Edgenta, for one or more of the purposes as stated in UEM Edgenta’s
Personal Data Protection Terms and Conditions.

I certify that all of the information provided by me on this application is true and complete, and I
understand that if any false information, ommissions, or misrepresentations are discovered, my
records will be submitted for review by your superior.  

Post Evaluation: Please assess your I am knowledgeable of the 2 - Basic understanding /

knowledge and skills after the training topic skill
training.
I am skillful to perform task 3 - Can demonstrate without
related to the topic assistance
i am con dent to share the 3 - Can demonstrate without
knowledge with my colleague assistance
i am capable to analyze any 3 - Can demonstrate without
issues associated to the topic assistance
I believe that i can provide 2 - Basic understanding /
solution pertaining to related skill
topic

5
Pre-Evaluation: Please assess your
knowledge and skills before the
training.
Room Layout (appropriateness,
comfort)
Refreshments / food
Adequate stationery provided
Instructor / trainer is able to
capture and maintain
participants interest.
Systematic and clear usage of
teaching materials.
Instructor / trainer is
knowledgeable on the subject
matter.
Able to manage and control
group discussions, stimulate
key thoughts and encourage
participants.
Effective time management
throughout the session.
Summarizes key points and
rea rms participant's
understanding.
How well do you rate the learning in
terms of :
I am knowledgeable of the 2 - Basic understanding /
training topic skill
I am skillful to perform task 2 - Basic understanding /
related to the topic skill
I am con dent to share the 2 - Basic understanding /
knowledge with my colleague skill
I am capable to analyze any 2 - Basic understanding /
issues associated to the topic skill
I believe that i can provide 2 - Basic understanding /
solution pertaining to related skill
topic
3
3
3
4 - Highest
4 - Highest
4 - Highest
4 - Highest
4 - Highest
4 - Highest
Level of detail, content layout & 4 - Highest
sequence and ease of
understanding?
Were the cases, examples & 4 - Highest
practices help you to work
effectively in your job?
The learning materials were 4 - Highest
helpful and can be used as
references for my work.
The information and/or skills 4 - Highest
presented were relevant and
useful to my job.
6
The program objectives were 4 - Highest
clearly de ned

The program objectives were 4 - Highest

covered by the instructor /
trainer