Webinar #2 Survey: NIOT-APA

Webinar #2- NIOT/APA Webinar

Date TBD

1) How would you rate the following in reference to this webinar?

	5 Excellent	4 Good	3 OK	2 Fair	1 Poor
a. Usefulness of information presented
b. Usefulness of resources presented
c. Effectiveness of discussion

2) Has participating in this webinar provided you with the following?

	Yes, very much	Yes, somewhat	No, didn’t make a difference	Not applicable
a. Information or tools you can use in your work
b. Increased motivation to prevent hate, intolerance, and/or bullying in your community
c. Deeper understanding of why hate crimes need to be reported, investigated and prosecuted
d. New ideas for improving relationships with communities
e. Deeper understanding of how to serve hate crime victims

3) What additional information and/or supplemental resources would you like to see presented in future webinars to support your work?

4) What is your main takeaway from participating in this webinar?

5) Additional comments?

6) Demographic Information

We request the following information to help us understand and better serve our audience. Thank you.

a. Gender ☐Male ☐Female ☐ Other

b. Age ☐12 or younger ☐13-18 ☐19-25 ☐26-35 ☐36-45 ☐46-55

☐56-65 ☐66+

c. Ethnicity ☐Hispanic or Latino

☐ Not Hispanic or Latino

d. Race ☐American Indian or Alaska Native ☐Asian ☐Black or African American ☐Native Hawaiian or Other Pacific Islander ☐White

e. Constituency ☐Law enforcement ☐Student ☐Educator ☐Community member

☐Civic leader ☐Faith group member ☐Other__________________

f. Occupation

Would you like to get more resources or updates from Not In Our Town?

If yes, please provide: Name ________________________________________________

Phone ________________ Email ___________________________

Thank you for your participation!

For more information on how to prevent hate, intolerance, and bullying in your community, please visit the Not In Our Town website at www.niot.org.

The public reporting burden for this collection of information is estimated to be up to 5 minutes per response. Send comments regarding this burden estimate or any other aspects of the collection of this information, including suggestions for reducing this burden, to the Office of Community Oriented Policing Services, U.S. Department of Justice, 145 N Street, N.E., Washington, DC 20530; and to the Public Use Reports Project, Office of Information and Regulatory Affairs, Office of Management and Budget, Washington, DC 20503.

You are not required to respond to this collection of information unless it displays a valid OMB control number. The OMB control number for this application is XXXX-XXXX and the expiration date is <insert date>.