Various Customer Feedback Activities

Web Page 1:

U.S. Census Bureau Regional Office Event Evaluation Form

OMB Number: 0607-0760
Expiration Date: February 28, 2014
Please take a few minutes to tell us about your experience at this event.

Web Page 2:

U.S. Census Bureau Regional Office Event Evaluation Form
Completed

Fields with an * (asterisk) are required.
Attendee Name:
Organization:
Phone Number (XXX-XXX-XXXX):
E-mail:
Type of Event:
*Lead Census Presenter:
*Regional Location:
*Event Date (MM/DD/YYYY):
What type of follow-up event would be of interest to you?
Computer-Based Training
Meeting
Presentation
Workshop
Other, please specify:

Web Page 3:

U.S. Census Bureau Regional Office Event Evaluation Form

Web Page 3 -- continued:

U.S. Census Bureau Regional Office Event Evaluation Form

1. Please identify where you work.
Community Organization
Congressional Office
Education: Universities, Colleges or Secondary
Faith-based Community
Government: Tribal, Federal, State or Local
Library Association
Media
Nonprofit
Small Business
State Data Center/Census Information Center
Trade Association
Other, please specify:

2. How did you find out about this event?
Census Bureau Website
Census Bureau Facebook Page
Invitation from Census Bureau
Invitation from Sponsoring Organization
Other Census Bureau Social Media
Non-Census Bureau Website or Social Media
Peer/Colleague
Another Census Bureau Event
Other, please specify:

3. What is your overall impression of this event?
Excellent
Very Good
Good
Fair
Poor

4. How would you rate the quality of the Census presentation?
Excellent
Very Good
Good
Fair
Poor

5. The presenter used clear and relevant examples.
Strongly Agree
Agree
Disagree
Strongly Disagree
Neither Agree Nor Disagree

6. Did this event meet your expectations?
Yes
No

If not, why?

7. How will you use the information learned at this event? (Check all that apply.)
Business plan
Community Assessment
Comparisons
Economic development
General/Community Data
Grant writing/proposals
Long-term strategic planning
Measuring trends
Program Development
Other, please specify:

8. Please provide any additional comments or suggestions pertaining to this event.

Web Page 3 -- continued:
After completing evaluation be sure to select the "Send Answers" button before
closing the form.

Web Page 4:

U.S. Census Bureau Regional Office Event Evaluation Form

Untitled Document

Thank you!
The U.S. Census Bureau is in the process of evaluating regional office events. Your
opinions and ideas are important to us. Help us improve our services by telling us about
your experience with this event. We will use the findings from this study to measure the
effectiveness in meeting your needs
and make appropriate program changes. Please take a few minutes to tell us about
your experience at this training event.
Your responses will be kept confidential. All answers will be pooled into aggregate
measures for all reporting purposes, and no individual person or organization
will be identified. Public reporting burden for this collection of information
is estimated to average 3 minutes per response, including the times for reviewing
instructions, searching existing data sources, gathering and maintain the data
needed, and completing and reviewing the collection of information. Respondents
are not required to respond to any information collection unless it displays
a valid approval number from the Office of Management and Budget.
Send comments regarding this burden estimate or any other aspect of this
collections
of information, including suggestions for reducing this burden, to: Paperwork
Project 0607-0760, U.S. Census Bureau, 4600 Silver Hill Road, Room 3K138,
Washington,
DC 20233. You may e-mail comment to: Paperwork@census.gov,
use "Paperwork Project 0607-0760" as the subject.