OMB # 1121-0277
Date of Expiration: 9/30/2010
O
JJDP
National Training and Technical Assistance Center
Consultant Feedback Form
In planning for a training and technical assistance event, OJJDP NTTAC assesses the needs of the requester and recommends consultants to meet those needs in the most efficient and effective manner. To ensure OJJDP NTTAC provides the highest quality training and technical assistance to the field, we need your feedback. Your responses on this form will be carefully considered and factored into the overall program evaluation of OJJDP NTTAC. Your participation is completely voluntary.
In the Planning Assessment section of this form, please assess all the tasks and processes that went into planning this event. In the Training/Technical Assistance On-Site and Post-Delivery Assessment section, please assess the session.
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control number. We try to create accurate and easily understood forms that impose the least possible burden. The estimated average time to complete this form is 10 minutes. If you have comments regarding the accuracy of this estimate, or suggestions for making this form simpler, please write to the Office of Juvenile Justice and Delinquency Prevention National Training and Technical Assistance Center, Needs Assessment and Evaluation Division, 9300 Lee Highway, Fairfax, VA 22031.
CONSULTANT(S): pre-printed information
REQUESTER: (name of individual) pre-printed information
(name of organization ) pre-printed information
OJJDP NTTAC COORDINATOR: pre-printed information
ACTIVITY DESCRIPTION: pre-printed information
TRAINING/TECHNICAL ASSISTANCE EXPECTED OUTCOMES: pre-printed information
PLANNING ASSESSMENT
For Questions 15, please indicate the extent to which you agree or disagree with the statements about the planning of the training/technical assistance event.
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).
NO – I did not observe this activity and cannot comment on it.
PLANNING |
SD |
D |
N |
A |
SA |
NA |
NO |
|
1 |
2 |
3 |
4 |
5 |
NA |
NO |
|
1 |
2 |
3 |
4 |
5 |
NA |
NO |
|
1 |
2 |
3 |
4 |
5 |
NA |
NO |
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1 |
2 |
3 |
4 |
5 |
NA |
NO |
|
1 |
2 |
3 |
4 |
5 |
NA |
NO |
For Questions 69, please write your comments in the space provided. Use additional paper if necessary.
Did you have enough information to develop a training/technical assistance plan to meet the needs of the audience? Yes No
6a. What information was helpful in preparing the plan?
6b. What information was missing (e.g., information that would have been helpful before the conference call)?
7. What component of the planning phase (e.g., APW, conference calls) was most useful in helping you prepare for this event?
What obstacles or challenges, if any, did you encounter during the planning phase?
What could OJJDP NTTAC have done differently to help you plan better for this event?
For Questions 1019, please indicate the extent to which you agree or disagree with the statements about delivery of this event using the same scale.
ON-SITE AND POST-DELIVERY |
SD |
D |
N |
A |
SA |
NA |
NO |
|
1 |
2 |
3 |
4 |
5 |
NA |
NO |
|
1 |
2 |
3 |
4 |
5 |
NA |
NO |
|
1 |
2 |
3 |
4 |
5 |
NA |
NO |
|
1 |
2 |
3 |
4 |
5 |
NA |
NO |
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1 |
2 |
3 |
4 |
5 |
NA |
NO |
|
1 |
2 |
3 |
4 |
5 |
NA |
NO |
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1 |
2 |
3 |
4 |
5 |
NA |
NO |
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1 |
2 |
3 |
4 |
5 |
NA |
NO |
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1 |
2 |
3 |
4 |
5 |
NA |
NO |
|
1 |
2 |
3 |
4 |
5 |
NA |
NO |
For Questions 2023, please write your comments in the space provided. Use additional paper if necessary.
On a scale of 1 to 5, with 1 representing “unsuccessful” and 5 representing “successful,” how successful were you in achieving the expected outcomes of this event?
1 2 3 4 5
unsuccessful successful
Please give a reason for your rating, using examples where possible.
What obstacles or challenges, if any, did you face in delivering training or technical assistance?
What additional technical assistance needs do you foresee this group will have with regard to this topic?
Do you have any other comments or suggestions?
Thank you for completing this NTTAC Consultant Feedback Form. We value your input!
Please fax completed forms to:703-934-3740 or mail to:
OJJDP National Training and Technical Assistance Center
ATTN: Christine Leicht
9300 Lee Highway, Fairfax, VA 22031
File Type | application/msword |
File Title | OVC TTAC - USER FEEDBACK FORM |
Author | goellen |
Last Modified By | 15067 |
File Modified | 2010-07-02 |
File Created | 2010-07-02 |