FACJJ meeting feedback form

OMB # 1121-0277
Date of Expiration: 09/30/14

FACJJ MEETING FEEDBACK FORM
Thank you for participating in the FACJJ Meeting supported by the Office of Juvenile Justice and Delinquency Prevention (OJJDP)
National Training and Technical Assistance Center (NTTAC). To better serve you, we would like to know how satisfied you are with the
quality of the meeting in which you just participated. Your feedback is indispensable in our ongoing efforts to improve the support
that OJJDP provides. Your participation is completely voluntary.
Meeting Title/TA#: pre-printed information
Date(s): pre-printed information
OJJDP NTTAC Coordinator: pre-printed information
Please click the number that best represents your rating for this FACJJ Meeting for each of the following questions.
1.

Overall, was this was an effective way to conduct a FACJJ Meeting?
1
Very Ineffective

2.

2

3

4

5

Ineffective

Neither Effective Nor
Ineffective

Effective

Very Effective

Did the facilitator/presenter(s) effectively move through the FACJJ Meeting agenda?
1

2

3

4

5

Very Ineffective

Ineffective

Neither Effective Nor
Ineffective

Effective

Very Effective

Please click the number that best represents the extent to which you agree or disagree with the following statements about the
FACJJ Meeting.

FACJJ MEETING
3.
4.
5.

The time allotted was appropriate for
adequately meeting the FACJJ Meeting goals.
Appropriate instructions were given on how to
manage the technology used.
The technology enabled interaction and
collaboration with others.

Strongly
Disagree

Disagree

Neither Agree
Nor Disagree

Agree

Strong
Agree

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

6.

What did you think of the < insert activity, event, resource, presenter> and was/did it ?

7.

What suggestions do you have for making future FACJJ Meetings better?

8.

Optional: Please provide comments on

9.

Additional Comments:

OMB # 1121-0277
Date of Expiration: 09/30/14

FACJJ MEETING FEEDBACK FORM
10. Which of the following best describes the field in which you work? (Please choose only one – drop down list)
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Child and family services (e.g.,
child welfare, adoption)
Children exposed to
violence/trauma
Children’s Advocacy Centers
Communication
Community-based
program/organization
Compliance Monitoring
Corrections/Detention
Court Appointed Special
Advocate (CASA)
Court services
DMC Coordinator

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Faith-based
program/organization
Formula Grant
Internet Crimes Against Children
(ICAC)
Juvenile justice specialist
Law enforcement
Mental health
Missing children
Other advocacy (e.g., GAL, CASA)
Parole/community corrections
Probation
Problem solving/specialized
courts (e.g., family/drug courts)
Prosecution

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Research
SAG Representative
Education
State requirements
State/local government
Substance abuse
Training and technical assistance
Tribal
School truancy/discipline/
violence prevention
Victims of Crime
Violence prevention
Youth development
Youth mentoring
Other: ________________

11. Please indicate which state you are from: _________________ (drop down list)

This survey will be offered online; however, in the case of paper surveys please send completed evaluation forms to:
Christine Leicht, OJJDP NTTAC Evaluation Manager, Christine.Leicht@icfi.com