OTIP Grantee Feedback Form

OMB Control Number: 0970-0519
Expiration Date: 10/31/2021

OTIP GRANTEE
FEEDBACK

Form

In order to help the National Human Trafficking Training and Technical Assistance Center (NHTTAC) better serve the field, we
are reaching out 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, including reporting all
information in aggregate to avoid identifying information. Only members of the NHTTAC Evaluation Team have access to
information that could identify respondents. If you have any questions about this survey or the evaluation, please contact
NHTTACEval@icf.com.
Please provide the information below to create an anonymous ID:
______

______

______

Birth Month
(insert just the month
for your date of birth,
example: 08 for August)

First letter of first name
(example: S for Sara)

First letter of your middle name
(example: M for Maria)

EVENT: __________________________________________________________________________________________
DATES(S): _____________________________________________________
FACILITATOR(S): ________________________________________________________________________________

Please select the number that best represents your rating for each session and objective:
SESSION FEEDBACK

Poor

Fair

Good

Excellent

Not Applicable

1.

[Insert Session].

1

2

3

4

NA

2.

[Insert Session].

1

2

3

4

NA

3.

[Insert Session].

1

2

3

4

NA

4.

[Insert Session].

1

2

3

4

NA

5.

[Insert Session].

1

2

3

4

NA

6.

[Insert Session].

1

2

3

4

NA

7.

[Insert Session].

1

2

3

4

NA

OBJECTIVE FEEDBACK

Poor

Fair

Good

Excellent

Not Applicable

8.

[Insert Objective 1].

1

2

3

4

NA

9.

[Insert Objective 2].

1

2

3

4

NA

10. [Insert Objective 3].

1

2

3

4

NA

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 10 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

OMB Control Number: 0970-0519
Expiration Date: 10/31/2021

OTIP GRANTEE
FEEDBACK

Form
Please indicate the extent to which you agree or disagree with the following statements:
Strongly
Disagree

Disagree

Agree

Strongly
Agree

Not
Applicable

11. The facilitator’s knowledge and expertise were
appropriate for the meeting.

1

2

3

4

NA

12. The facilitator presented the content clearly and
logically.

1

2

3

4

NA

13. The facilitator responded positively to questions
and comments.

1

2

3

4

NA

14. The facilitator created a respectful environment for
participants.

1

2

3

4

NA

15. The facilitator encouraged and initiated helpful
discussions.

1

2

3

4

NA

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Not
Applicable

16. The facilitator’s knowledge and expertise were
appropriate for the meeting.

1

2

3

4

NA

17. The facilitator presented the content clearly and
logically.

1

2

3

4

NA

18. The facilitator responded positively to questions
and comments.

1

2

3

4

NA

19. The facilitator created a respectful environment for
participants.

1

2

3

4

NA

20. The facilitator encouraged and initiated helpful
discussions.

1

2

3

4

NA

Strongly
Disagree

Disagree

Agree

Strongly
Agree

Not
Applicable

21. The meeting was organized and clear.

1

2

3

4

NA

22. The meeting content was trauma-informed.

1

2

3

4

NA

23. The meeting content was survivor-informed.

1

2

3

4

NA

24. The meeting content was grounded in evidencebased research or promising practices.

1

2

3

4

NA

25. The meeting content was grounded in a
multidisciplinary approach to addressing human
trafficking.

1

2

3

4

NA

26. The meeting content reflected a public health
approach to addressing human trafficking.

1

2

3

4

NA

27. The meeting provided ample opportunity and
encouragement for participants to meaningfully
interact with each other.

1

2

3

4

NA

FACILITATOR 1: ____________________

FACILITATOR 2: ____________________

EVENT FEEDBACK

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 10 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

OMB Control Number: 0970-0519
Expiration Date: 10/31/2021

OTIP GRANTEE
FEEDBACK

Form

28. The time allotted was appropriate for completing
all agenda items.

1

2

3

4

NA

29. The meeting met my professional needs.

1

2

3

4

NA

30. The meeting met my educational needs.

1

2

3

4

NA

31. Overall, this was an effective way to support the
content and purpose of the meeting.

1

2

3

4

NA

32. NHTTAC staff effectively responded to any
obstacles or challenges.

1

2

3

4

NA

Please select the number that best represents your rating for this event for each of the following questions:
33. Please rate the overall quality of this meeting.
1

2

3

4

Poor

Fair

Good

Excellent

34. How useful was this meeting to your work?
1

2

3

4

Not Useful

Somewhat Useful

Useful

Very Useful

35. In your professional capacity, how frequently do you come into contact with people who are currently being trafficked, at risk
of being trafficked, or have been trafficked?
1

2

3

4

Never

Occasionally

Frequently

All the Time

36. Is your organization responsible for working with people who are currently being trafficked or have been trafficked?
□

Yes

□ No

Please rate the following registration, premeeting service, and logistical arrangements using the
following scale:
Poor

Fair

Good

Excellent

Not
Applicable

37. Meeting registration

1

2

3

4

NA

38. Onsite registration check-in process

1

2

3

4

NA

39. Attendee meeting packet

1

2

3

4

NA

40. Meeting direction signs

1

2

3

4

NA

41. Conference meeting room

1

2

3

4

NA

42. Travel information (if applicable)

1

2

3

4

NA

LOGISTICS

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 10 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

OMB Control Number: 0970-0519
Expiration Date: 10/31/2021

OTIP GRANTEE
FEEDBACK

Form

43. Hotel accommodations (if applicable)

1

2

3

4

NA

44. As a result of participating in this meeting, do you plan to do any of the following? (Mark all that apply.)

□
□
□
□
□
□
□
□
□
□

Change my management/leadership or
interpersonal communication style
Further develop skills and knowledge about serving
people who are currently being trafficked, at risk of
trafficking, or have been trafficked
Write grants/fundraise/identify new funding
resources
Advocate or meet with leadership of my
organization to develop/enhance vision, mission, or
strategic plan
Advocate or meet with leadership of my
organization to develop/enact policy changes at my
organization
Improve programs/practices
Improve technology/websites/infrastructure
Integrate victim-centered, survivor-informed
strategies
Expand services or types of services
Begin a new project or initiative

□
□
□
□
□
□

□
□
□
□
□
□

Develop/strengthen collaborative or strategic
relationships
Network with other participants
Share materials with colleagues
Provide information to clients/families/youth
Train/educate others in content/skills learned
Raise public awareness/advocacy/outreach
activities offered to people who are currently being
trafficked, at risk of trafficking, or have been
trafficked
Refer colleagues to NHTTAC events/resources
Conduct research
Strengthen evaluation or needs assessment
activities
Improve identification and reporting methods for
trafficking
Take additional training on human trafficking
Other (please specify): __________________

45. Of the barriers listed below, which do you believe will be a significant challenge to performing the activities you selected in
the previous question? (Mark all that apply.)

□
□
□
□
□
□
□
□
□

Lack of senior leadership support
Lack of frontline support and accountability
Continuous turnover
Shortages of key personnel
Competing priorities
Inaccessible research and/or information
Lack of urgency
Lack of shared responsibility across organizational
collaboration
Difficulty in establishing and/or maintaining a
multi-disciplinary team

46. Would you recommend NHTTAC to others for T/TA?

□
□
□
□
□
□

Need for partnership building with other
organizations
Variation in mission and regulatory frameworks
when partnering with other organizations
Lack of information and/or data sharing among
organizations
Lack of time to implement changes
Lack of training for staff in how to implement
change
Other (please explain): _________________

□ Yes

□ No

47. What could NHTTAC have done differently to better support the objectives of this meeting?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
48. What was most helpful about this meeting 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 10 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

OTIP GRANTEE
FEEDBACK

Form

OMB Control Number: 0970-0519
Expiration Date: 10/31/2021

49. Are there any topics you would like to learn more about next time?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
50. Do you have any other comments or suggestions?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Thank you for taking the time to complete this form and helping to improve NHTTAC 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 10 minutes. If you have comments please write to the NHTTAC Evaluation Team at
NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.