Regional Educational Laboratory Bridge Events
Customer Satisfaction Survey
P
EVENT TITLE: pre-printed information
PRESENTER(S): pre-printed information
For Questions 1 – 23, please indicate the extent to which you agree or disagree with the following statements about the session.
1 – I Strongly Disagree with this statement (SD).
2 – I Disagree with this statement (D).
3 – I Neither agree nor disagree with this statement (N).
4 – I Agree with this statement (A).
5 – I Strongly Agree with this statement (SA).
NA – Not Applicable (NA).
Presenter(s) (or insert another title such as practitioner panel, research presenter, delete if not applicable) |
SD |
D |
N |
A |
SA |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
< Insert Respondent Type> (insert a title such as practitioner panel, research presenter, etc, delete if not applicable) |
SD |
D |
N |
A |
SA |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
Event Structure, Relevance, and Utility |
SD |
D |
N |
A |
SA |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is 1800-0011. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Karen Armstrong, Institute of Education Sciences, U.S. Department of Education, 555 New Jersey Avenue NW, Room 504C, Washington, D.C. 20208-5500.
What aspects of the event were most helpful and why?
________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________
What additional follow up activities would help you increase your knowledge of today’s topic or help you apply it to your own work?
________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________
What part of this event would you suggest changing to make it better for future participants (structure, presenters, audience participation, etc)?
________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________
As a result of my attendance at <insert title>, I plan to take the following action steps:
a)______________________________________________________________________________________________________b)______________________________________________________________________________________________________
c) ______________________________________________________________________________________________________
Which of the following best describes the field in which you work? (Please choose only one)
College Instructor/Professor
Congressional or state legislator staff member
Consultant or service provider to education entities
Curriculum or services salesperson or marketer
Curriculum specialist
Director or staff member of an education or public policy organization
Graduate student
Librarian
Journalist, writer or reporter
Other school-level administrator
Policy maker or legislator, at federal, state, or local level
Principal/Vice-Principal
Researcher or analyst
School board member
School district central office staff
School superintendent/Assistant-superintendent
State-level advisor or board member
State-level education administration
Teacher/Educator
U.S. Department of Education staff member
Other (Please specify):________________________
In what State/Territory is your work based? (drop down list if on-line)
Which of the following best describes the business or organization in which you work?
College or university (including junior, community, or technical college)
Curriculum or textbook developer/publisher
Elementary or secondary school (including vocational high schools)
Federal agency
Independent consultant
Media
Not-for-profit organization
Professional association or union
Research organization
School District
Software developer/publisher
Other:(please specify):________________________
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | OVC TTAC - USER FEEDBACK FORM |
Author | goellen |
File Modified | 0000-00-00 |
File Created | 2021-02-04 |