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pdfOMB Control Number: 0970-0519
Expiration Date: 10/31/2021
WEBINAR 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.
WEBINAR:
_______________________________________________
DATE(S):
_______________________________________________________________
PRESENTER(S):
Please indicate the extent to which you agree or disagree with the following statements:
OVERALL WEBINAR
1.
2.
3.
4.
5.
Strongly
Disagree
Disagree
Agree
Strongly
Agree
1
1
1
1
1
1
1
1
2
2
2
2
2
2
2
2
3
3
3
3
3
3
3
3
4
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4
4
4
4
4
1
2
3
4
1
1
2
2
3
3
4
4
1
2
3
4
Strongly
Disagree
Disagree
Agree
Strongly
Agree
1
1
1
2
2
2
3
3
3
4
4
4
Strongly
Disagree
Disagree
Agree
Strongly
Agree
1
1
1
2
2
2
3
3
3
4
4
4
As a result of this webinar, I
As a result of this webinar, I
As a result of this webinar, I
As a result of this webinar, I
As a result of this webinar, I
6.
7.
8.
9.
The webinar addressed the critical issues related to the topic(s).
The time allotted was adequate for the scope of material covered.
The webinar was organized and clear.
The webinar included information on current evidence-based research or
promising practices.
10. The webinar content was survivor informed.
11. The webinar content was trauma informed.
12. The webinar content reflected a public health approach to addressing human
trafficking.
PRESENTER 1: ___________________
13. The presenter’s knowledge and expertise were appropriate for this webinar.
14. The presenter engaged and interacted with the audience.
15. The presenter created a respectful environment for participants.
PRESENTER 2: ___________________
16. The presenter’s knowledge and expertise were appropriate for this webinar.
17. The presenter engaged and interacted with the audience.
18. The presenter created a respectful environment for participants.
19. Please rate the overall quality of this webinar.
1
2
3
4
Poor
Fair
Good
Excellent
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 4 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
WEBINAR FEEDBACK
Form
20. How useful was the webinar information to your work?
1
2
3
4
Not Useful
Somewhat Useful
Useful
Very Useful
21. What additional topics related to human trafficking would you like included in future webinars?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
[Note: Questions 22–24 are only asked for evaluations of the Emerging Issues webinar series.]
22. There are a total of webinars in the Emerging Issues series. Please check the webinars you attended from the
following list:
23. Please rate the overall quality of the webinars you selected in the previous question.
1
2
3
4
Poor
Fair
Good
Very Good
24. How well did the content in each webinar you selected complement each other?
1
2
3
4
Not At All
Not Well
Well
Very Well
25. Would you recommend NHTTAC to others who need training or technical assistance?
□ Yes
□ No
26. 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
Other (please specify):
_______________________________
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 4 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
WEBINAR FEEDBACK
Form
27. Which of the following best describes your geographic population? (Mark all that apply).
□ National
□ Local
□ State (please specify): ______________
□ Urban
□ Tribal
□ Rural
□ International (please specify country): _____________ □ Suburban
28. 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
29. 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): __________________
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 4 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 |