SOAR Online Participant Feedback Long Form

NHTTAC Consultant and Evaluation Package

26 - SOAR Online Participant Feedback Long Form

SOAR Online Participant Feedback Long Form

OMB: 0970-0519

Document [pdf]
Download: pdf | pdf
OMB Control Number: 0970-0519
Expiration Date: 10/31/2021

SOAR ONLINE

PARTICIPANT FEEDBACK

Long 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.
PRE-TRAINING EVALUATION 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

Very Low

Low

High

Very High

STOP Objectives
5.



1

2

3

4

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

Very Low

Low

High

Very High

11. 

1

2

3

4

12. 

1

2

3

4

13. 

1

2

3

4

Very Low

Low

High

Very High

1

2

3

4

OBSERVE Objectives

ASK Objectives
14. 

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 1 minute. 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 ONLINE

PARTICIPANT FEEDBACK

Long Form

15. 

1

2

3

4

16. 

1

2

3

4

Very Low

Low

High

Very High

17. 

1

2

3

4

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

RESPOND Objectives

23. 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

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 1 minute. 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 ONLINE
PARTICIPANT FEEDBACK

Long 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 posttest will mirror the objectives selected for the pretest].
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

1

2

3

4

OBSERVE Objectives

ASK Objectives

RESPOND Objectives
18. 

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 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 ONLINE
PARTICIPANT FEEDBACK

Long Form

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?

□ No

Yes

If yes, please 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

25. I am confident that I will be able to use the knowledge and skills I
learned during SOAR training when I return to my job.

1

2

3

4

26. The training met my educational needs.

1

2

3

4

27. The training met my professional needs.

1

2

3

4

28. The educational materials provided during this training were useful.

1

2

3

4

29. The use of technology provided a good learning environment.

1

2

3

4

30. The training included current evidence-based research or promising
practices.

1

2

3

4

31. I learned a great deal as a result of this training.

1

2

3

4

32. The training was survivor informed.

1

2

3

4

33. The training was trauma informed.

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

34. The training was based on current evidence-based research or
promising practices.
35. The training was grounded in a multidisciplinary approach to
addressing human trafficking.
36. The training reflected a public health approach to addressing human
trafficking.

37. Please rate the overall quality of this training.
1

2

3

4

Poor

Fair

Good

Excellent

38. As a result of participating in the SOAR 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

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 NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

SOAR ONLINE

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

PARTICIPANT FEEDBACK

Long Term

Write grants/fundraise/identified 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): __________________

39. 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.)
Difficulty in establishing and/or maintaining a
multidisciplinary team
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): _________________

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

40. What suggestions do you have for improving future trainings?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
41. Would you recommend this SOAR training to others?

□

Yes

□ No

42. 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

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 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 ONLINE
PARTICIPANT FEEDBACK

Long Term

Other (please specify): _____________________

Union/worker advocacy organization
Victim service provider

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

□ No

Yes

44. 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):
_______________________________

45. 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

46. 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

□

□ More than 10 years

6–10 years

47. Which of the following best describes your primary role in your current position?
□ Direct delivery/Frontline staff
□ Consultant/trainer
□ Management
□ Volunteer
□ Other (please specify): _________________

□ Administration
□ Peer educator

48. 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

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 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 ONLINE
PARTICIPANT FEEDBACK

Long Term

49. 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): __________________

50. What is your race? (Mark all that apply.)







American Indian or Alaska Native
Asian
Black or African American
Native Hawaii or other Pacific Islander
White
Other (please specify): _______________________________________

51. What is your ethnicity? (Mark all that apply.)




Hispanic or Latino
Middle Eastern or North African
Other (please specify): ________________________________________

52. What is your gender? (Mark all that apply.)





Male
Female
Transgender
Other (please specify): ________________________________________

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 5 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 Typeapplication/pdf
AuthorField, Michael
File Modified2019-11-01
File Created2019-11-01

© 2024 OMB.report | Privacy Policy