Form 1 RETA-Feedback Form

Rigorous Evaluation technical assistance (reta) feedback form

We are interested in receiving feedback on the evaluation technical assistance you’ve received from the RETA team thus far. Up to three staff at your grantee organization, and up to three staff at your local evaluator organization, are invited to complete this form separately: each individual should please submit this form directly to (a) your FPO and (b) Seth Chamberlain (seth.chamberlain@acf.hhs.gov).

This survey is estimated to take 20 minutes to complete. Your participation in this survey is voluntary.

Your responses will be kept private and not shared publicly. Your responses will not be shared with individual RETA Liaisons, but may be shared with the ACF leads who oversee the grants and the contract for the RETAs.

Grant Funding Stream: ☐PREIS ☐Tribal PREP

Grantee:

Your name:

Your role:

Are you: ☐Staff at the organization implementing the program ☐Staff at the organization conducting the local evaluation

Name(s) of RETA Liaison(s):

Rigorous Evaluation technical assistance:

Please indicate your response to the following statements, which relate to the rigorous evaluation technical assistance and your liaison(s).

	Strongly Agree	Agree	Neither Agree nor Disagree	Disagree	Strongly Disagree	Not Applicable
The required evaluation design template was clear and easy to use.
Additional comment:
The conference telephone calls with the RETA Liaison(s) during the evaluation design phase were beneficial.
Additional comment:
The conference telephone calls with the RETA Liaison(s) during the initial implementation of the evaluation are beneficial.
Additional comment:
The SharePoint site is user- friendly.
Additional comment:
I am able to access necessary documents and resources on the SharePoint site.
Additional comment:
The evaluation technical assistance will improve the chances that my study will meet the HHS Evidence Review Standards.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB number for this information collection is 0970-0401 and the expiration date is 05/31/2018. Additional comment:
The RETA Liaison(s) has taken the time to understand my program and target population.
Additional comment:
The RETA Liaison(s) explains evaluation concepts in a style that is clear and concise.
Additional comment:
I feel comfortable asking questions of the RETA Liaison(s).
Additional comment:
I appreciate having rigorous evaluation technical assistance.
Additional comment:

Please provide explanation for any disagree/strongly disagree comments (if you didn’t insert an additional comment above):

The final section provides an opportunity to openly discuss aspects of the rigorous evaluation technical assistance. Your candid feedback will help us identify areas of opportunity to improve rigorous evaluation technical assistance, and to further strengthen areas that are currently working well.

What do you appreciate MOST about the rigorous evaluation technical assistance?

What is your LEAST favorite aspect of the rigorous evaluation technical assistance?

Have you ever experienced issues/obstacles with the RETA and, if so, was there a timely resolution?

Based on your experience, do you have any suggestions for improving the rigorous evaluation technical assistance?

Based on your experience, are there any tools and/or resources that the rigorous evaluation technical assistance contract could produce that would be beneficial for your evaluation, or any topics on which you would like additional technical assistance?