Download:
pdf |
pdfCUSTOMIZED TTA
OMB# 1121-XXXX
Date of Expiration: XXXX
Participant Followup
Approximately 3 months ago, you attended the OVC TTAC session listed below. In order to help OVC TTAC better serve the field,
we are reaching out to you and other participants to obtain your feedback. We will protect the privacy of your information in
accordance with the Federal Privacy Act, and we will protect the confidentiality of your responses using procedures we have in
place. Only members of the Needs Assessment and Evaluation Team have access to information that could identify respondents.
Answers to these questions will only be reported after aggregating all responses, and the results will never identify you as an
individual. Other participants, presenters, OVC staff, OVC TTAC staff, and your employer will not have access to what you as an
individual say. Your participation is completely voluntary. If you have any questions about this survey or the evaluation, please
contact TTACEval@icfi.com.
EVENT: pre-printed information
SESSION: _ pre-printed information
LOCATION: pre-printed information
DATE(S): pre-printed formation
PRESENTER(S): pre-printed information
Please indicate the extent to which you agree or disagree with the following statements.
SESSION
1.
2.
3.
4.
5.
6.
7.
Strongly
Disagree
Disagree
Neither
Agree nor
Disagree
Agree
Strongly
Agree
Not
Applicable
1
1
1
1
1
1
1
2
2
2
2
2
2
2
3
3
3
3
3
3
3
4
4
4
4
4
4
4
5
5
5
5
5
5
5
NA
NA
NA
NA
NA
NA
NA
I gained new knowledge as a result of attending the session.
I gained new skills as a result of attending the session.
The session improved my ability to serve victims.
The session improved my ability to reach underserved victims.
The session improved my ability to collaborate with others.
I have found the provided materials to be useful in my work.
I have been able to apply what I learned in my work.
8.
How have you applied what you learned to your work, if applicable?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
9.
Have you done any of the following as a result of attending this OVC TTAC session? (Mark all that apply.)
□
□
□
□
□
□
□
□
Share materials with colleagues
Refer colleagues to other OVC TTAC events/ resources
Train colleagues in content/skills learned at the event
Enact policy changes at my organization
Begin a new project or initiative
Strengthen evaluation or needs assessment activities
Modify outreach/marketing activities
Change my management or leadership style
□
□
□
□
□
□
□
□
Expand services to new victim populations
Expand types of services offered to victims
Expand capacity/frequency of services to victims
Pursue additional professional development
Network with other participants
Strengthen collaborative relationships with other orgs
Identify/pursue new funding resources
Other(s): _____________________________________
Please explain: _______________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
10. Looking back, what aspects of the session were most helpful to you, and why?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
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. The estimated average time to complete this form is 5 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the OVC TTAC Evaluation Team at TTACEval@icfi.com or 9300 Lee Highway, Fairfax, VA 22031.
OMB# 1121-XXXX
Date of Expiration: XXXX
CUSTOMIZED TTA
Participant Followup
11. What could have been done differently to make the session more useful to you now?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
12. Do you have any other comments or suggestions?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Thank you for taking the time to complete this form and helping to improve OVC TTAC activities.
File Type | application/pdf |
File Title | OVC TTAC - USER FEEDBACK FORM |
Author | goellen |
File Modified | 2013-05-30 |
File Created | 2013-05-30 |