Download:
pdf |
pdfOMB Control Number: 0970-0519
Expiration Date: 10/31/2021
SOAR CONFERENCE
TRAINING 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.
CONFERENCE:
TRAINING:
DATE(S):
PRESENTER(S):
PRE-TRAINING QUESTIONS:
Please provide the information below to create an anonymous ID:
______
______
______
Birth Month
(insert just the month
for your date of birth:
08 for August)
First letter of first name
(example: S for Sara)
First letter of your middle name
(example: M for Maria)
[Note: Not all objectives listed below will be included in the evaluation form. Specific objectives will be selected from this list
and tailored to each training.]
Please rate your level of confidence in your ability to:
Overall Objectives
Very Low
Low
High
Very High
1.
1
2
3
4
2.
1
2
3
4
3.
1
2
3
4
4.
1
2
3
4
5.
1
2
3
4
Very Low
Low
High
Very High
STOP Objectives
6.
1
2
3
4
7.
1
2
3
4
8.
1
2
3
4
9.
1
2
3
4
10.
1
2
3
4
11.
1
2
3
4
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 2 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
SOAR CONFERENCE
TRAINING FEEDBACK
Form
OBSERVE Objectives
Very Low
Low
High
Very High
12.
1
2
3
4
13.
1
2
3
4
14.
1
2
3
4
Very Low
Low
High
Very High
15.
1
2
3
4
16.
1
2
3
4
17.
1
2
3
4
Very Low
Low
High
Very High
18.
1
2
3
4
19.
1
2
3
4
20.
1
2
3
4
21.
1
2
3
4
22.
1
2
3
4
23.
1
2
3
4
ASK Objectives
RESPOND Objectives
24. In your professional capacity, how frequently do you come into contact with a person who is currently being trafficked, at
risk of being trafficked, or has been trafficked?
1
2
3
4
Never
Occasionally
Frequently
Daily
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 2 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
SOAR CONFERENCE
TRAINING FEEDBACK
Form
POST-TRAINING QUESTIONS:
Please provide the information below to create an anonymous ID:
______
______
______
Birth Month
(insert just the month
for your date of birth:
08 for August)
First letter of first name
(example: S for Sara)
First letter of your middle name
(example: M for Maria)
[Note: Objectives selected for the post-training will mirror the objectives selected for the pre-training.]
Please rate your level of confidence in your ability to:
Overall Objectives
Very Low
Low
High
Very High
1.
1
2
3
4
2.
1
2
3
4
3.
1
2
3
4
4.
1
2
3
4
5.
1
2
3
4
Very Low
Low
High
Very High
STOP Objectives
6.
1
2
3
4
7.
1
2
3
4
8.
1
2
3
4
9.
1
2
3
4
10.
1
2
3
4
11.
1
2
3
4
Very Low
Low
High
Very High
12.
1
2
3
4
13.
1
2
3
4
14.
1
2
3
4
Very Low
Low
High
Very High
15.
1
2
3
4
16.
1
2
3
4
17.
1
2
3
4
Very Low
Low
High
Very High
OBSERVE Objectives
ASK Objectives
RESPOND Objectives
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
SOAR CONFERENCE
TRAINING FEEDBACK
Form
18.
1
2
3
4
19.
1
2
3
4
20.
1
2
3
4
21.
1
2
3
4
22.
1
2
3
4
23.
1
2
3
4
□
24. Are you applying for continuing education credits for completing this training?
Yes
□
No
If yes, provide your first and last name and email address:
_________________________________________________________________________________________
Please indicate the extent to which you agree or disagree with the following statements:
Strongly
Disagree
Disagree
Agree
Strongly
Agree
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
Strongly
Disagree
Disagree
Agree
Strongly
Agree
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
Strongly
Disagree
Disagree
Agree
Strongly
Agree
33. I am confident that I will be able to use the
knowledge and skills I learned during the SOAR
training when I return to my job.
1
2
3
4
34. The training met my educational needs.
1
2
3
4
35. The training met my professional needs.
1
2
3
4
1
2
3
4
1
2
3
4
Presenter 1:____________________________
25. The presenter’s knowledge and expertise were
appropriate for this session.
26. The presenter delivered the content of the session
effectively.
27. The presenter responded positively to questions and
comments.
28. The presenter created a respectful environment for
participants.
Presenter 1:____________________________
29. The presenter’s knowledge and expertise were
appropriate for this session.
30. The presenter delivered the content of the session
effectively.
31. The presenter responded positively to questions and
comments.
32. The presenter created a respectful environment for
participants.
Conference Session Feedback
36. The educational materials provided during this
training were useful.
37. The activity provided appropriate and effective
opportunities for active learning (case studies,
discussion, Q&A, etc.).
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
SOAR CONFERENCE
TRAINING FEEDBACK
Form
38. The training was grounded in a multidisciplinary
approach to addressing human trafficking.
39. The training reflected a public health approach to
addressing human trafficking.
1
2
3
4
1
2
3
4
40. I learned a great deal as a result of this training.
1
2
3
4
41. The training was survivor informed.
1
2
3
4
42. The training was trauma informed.
1
2
3
4
43. The training was based on current evidence-based
research or promising practices.
1
2
3
4
44. The pace of this workshop was appropriate.
1
2
3
4
45. The workshop was a good way for me to learn the
content.
1
2
3
4
46. Please rate the overall quality of this training.
1
2
3
4
Poor
Fair
Good
Excellent
47. As a result of participating in this training, 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
victims of trafficking
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 victims
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): __________________
48. 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
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
SOAR CONFERENCE
TRAINING FEEDBACK
Form
Lack of shared responsibility across organizational
collaboration
Difficulty in establishing and/or maintaining a
multidisciplinary team
Variation in mission and regulatory frameworks
when partnering with other organizations
49. Would you recommend SOAR training to others?
□
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
50. Which of the following best describes the organization in which you work? (Mark all that apply.)
Academic institution
Anti-trafficking organization
Business/For-profit organization
Coalition/Multidisciplinary team/Task force
Federal government
Faith-based organization
State/Local government
Nonprofit/Community-based organization
OTIP grantee
Self-employed
Survivor-led organization
Tribal government
Union/Worker advocacy organization
Victim service provider
Other (please specify): _____________________
51. Is your organization responsible for working with people who are currently being trafficked or have been trafficked?
□
Yes
□
No
52. Which of the following best describes your professional capacity or types of services you provide? (Mark all that apply.)
Behavioral health professional (e.g., psychologist,
psychiatrist, mental health/substance use counselor)
Child welfare (e.g., state agency staff, child welfare
contractor, nonprofit personnel)
Corrections-based services (e.g., parole, probation)
Criminal justice (e.g., law enforcement, prosecutor,
probation, court, forensic interviewer)
Educator (e.g., teacher, professor, school
administrator)
Health care (e.g., physician, physician assistant,
nurse practitioner, dentist, nurse, pharmacist)
Housing (e.g., case worker, shelter director, public
housing authority agencies)
Legal (e.g., immigration, civil and/or rights-based
attorney and/or paralegal, clinic)
Public health (e.g., licensure board, health
department staff, health care executive, community
health workers)
Social worker (e.g., case manager, school
counselor, supervisor, administrator)
Survivor empowerment, mentoring, or peer to peer
Violence prevention (e.g., child abuse and neglect,
elder abuse, domestic violence, sexual violence,
youth violence)
Other (please specify):
_______________________________
53. In your professional capacity, how frequently do you come into contact with a person who is currently being trafficked, at risk
of being trafficked, or has been trafficked?
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
SOAR CONFERENCE
TRAINING FEEDBACK
Form
1
2
3
4
Never
Occasionally
Frequently
Daily
54. Which of the following best describes the number of years of experience you have in your current field of work?
□
Less than 3 years
□
□
3–5 years
6–10 years
□
More than 10 years
55. Which of the following best describes your primary role in your current position?
□
Direct delivery/Frontline staff
□
Consultant/Trainer
□
Administration
□
Management
□
Volunteer
□
Peer educator
□
Other (please specify): ______
56. Which of the following best describes your geographic population? (Mark all that apply.)
□
National
□
State (please specify): ______________
□ Tribal
□ International (please specify country):
_________________________________
□
Local
□
□
□
Urban
Rural
Suburban
57. Please select any of the following populations you currently work with in a professional capacity (Mark all that apply.)
Human trafficking
Commercial sexual exploitation of
children
Sex trafficking
Adults
Minors
Labor trafficking
Adults
Minors
Children/youth
Out of home/Foster care/Kinship care
Juvenile justice
Runaway/Homeless youth
People with disabilities
Deaf/Hearing impaired
Elderly
Lesbian, gay, bisexual, transgender, and
questioning
Foreign nationals (migrant workers, undocumented
immigrants, refugees)
People with low incomes
Racial and ethnic minorities
American Indian or Alaska Native
Asian
Black or African American
Native Hawaii or other Pacific Islander
White
Hispanic or Latino ethnicity
History of substance use
Intimate partner violence (e.g., dating, domestic
violence)
Gang-related crime
Sexual abuse/Violence
Other (please specify): __________________
58. Do you have any comments or suggestions for future SOAR-related trainings?
Thank you for taking the time to complete this form and helping to improve SOAR 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 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.
| File Type | application/pdf |
| Author | Field, Michael |
| File Modified | 2019-11-01 |
| File Created | 2019-11-01 |