Documente Academic
Documente Profesional
Documente Cultură
Surname
1.2
Age
1.3
Sex
1.4
1.5
Given name
1.6
1. Country ___________
City ______________
1.7
2. Organization ___________________________________
1.8
1.9
1.10
1. beginner
1. beginner
1. beginner
2. intermediate
2. intermediate
2. intermediate
2. intermediate
3. advanced
3. advanced
3. advanced
3. advanced
Duration:
1. Less than 1 month
2. 1-3 months
3. 3-6 months
4. 6-12 months
5. More than 12 months
1.11
Type
1. Study tour
2. Raising qualification
3. Obtaining qualification
4. Master
5. PhD
1.12
Field of study
1.13
Topic of study
1.14
1.15
Did any interpreter accompany by you or your team during your tour/training?
If yes, please provide the name of interpreter.
_________________________________________________
1.16
Organization, institution,
Duration
country
Admiss
how
ion date many
days/mo
nths
Field of study
obtained degree/
profession
2.2
Please name the person who nominated you in WHO fellowship program.
______________________________________
2.3
_____________________________________________________________
2.4
2.5
2.6
2.7
2.8
Please share your opinion with us on how to improve the selection procedure.
______________________________________________________________
______________________________________________________________
______________________________________________________________
3.1
What improvement did you have upon return from this training/tour in your
personal and professional career ?
How have you shared your eperiences with your colleagues upon your
return? Please put /+/ in appropriate place.
Type of Information sharing
Within
department
within
organization
nationwide
informal conversation
presentation
workshop/seminar
publication
Wall presentation
Other
3.3
Have you obtained any initiative and practice related to your profession?
1. Yes
2. No
3.4
3.5
_____________________________________________________
3.6 Did you change your job after your return? Please begin just after return.
Organisation, position
Admission date
Quit date
Reason for
change of job
In your opinion, what are the three most benefits of the fellowship/study
tour?
1. __________________________________________________________
2. ___________________________________________________________
3. ___________________________________________________________
4.2
In your opinion, what are the three most limitations of the fellowship/study
tour?
1. __________________________________________________________
2. ___________________________________________________________
3. ___________________________________________________________
In your opinion, what are the expected benefits of the fellowship/study tour?
4.3
4.4
______________________________________________________________
______________________________________________________________
2. No
If no, why? Please mention.
4.5
If objective was
not met, please
list resons.
Please share your opinion on how to improve the impact and implementation of WHO fellowship
program.
______________________________________________________________________________
_____________________________________________________________________________