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OMB# 1121-XXXX
Date of Expiration: XXXX
Consultant Feedback
In order to help OVC TTAC better serve the field, we are reaching out to you and other consultants 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. Please note that completing this form is a requirement for serving as an
OVC TTAC consultant. 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
CONSULTANT(S): pre-printed information
OVC TTAC COORDINATOR: pre-printed information
Please indicate the extent to which you agree or disagree with the following statements. Mark “Not Observed” if you are unable
to assess the statement due to not being present or able to observe.
PLANNING AND DELIVERY
1. OVC TTAC was responsive to my questions and needs.
2. Discussions with OVC TTAC helped me to identify
critical issues and understand the needs of participants
prior to the session.
3. OVC TTAC provided me with the necessary information
and resources to help me adequately prepare for the
session.
4. The time allotment was adequate for the scope of
material covered.
Strongly
Disagree
Disagree
Neither
Agree nor
Disagree
Agree
Strongly
Agree
Not
Applicable
Not
Observed
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
□ Yes
□ No
5.
Would you recommend OVC TTAC to others?
6.
What could OVC TTAC have done differently to create a better session? (You may use the back of the form for more space.)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
7.
Do you have any other comments or suggestions? (You may use the back of the form for more space.)
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Thank you for taking the time to complete this form and helping to improve OVC TTAC activities.
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.
File Type | application/pdf |
File Title | OVC TTAC - USER FEEDBACK FORM |
Author | goellen |
File Modified | 2013-05-30 |
File Created | 2013-05-30 |