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pdfOMB # 1121-0277
Date of Expiration: 09/30/14
OJJDP NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER
FOLLOW-UP PARTICIPANT INTERVIEW FEEDBACK FORM
Approximately 3 months ago, you attended an Office of Juvenile Justice and Delinquency Prevention (OJJDP) NTTAC
Training/Technical Assistance Session entitled , led by . We are
re-contacting participants from that event who indicated that they would be willing to participate in a brief follow-up survey.
Your responses to these questions will be reported only in aggregate and will not identify you as an individual. Your participation in
this interview is completely voluntary and will last approximately 5 minutes.
Interview Date: pre-printed information
Past Event’s Title/TA#: pre-printed information
Past Event’s Date(s): pre-printed information
Past Event’s Presenter(s): pre-printed information
Please indicate the number that best represents your rating for this event for each of the following questions and base your
answers on how you feel about the event now.
1.
On a scale of 1 to 5, with 1 representing “Very Dissatisfied” and 5 representing “Very Satisfied,” how satisfied were you with the
overall quality of the event?
1
2
3
4
5
Very Dissatisfied
Dissatisfied
Neither Satisfied Nor
Dissatisfied
Satisfied
Very Satisfied
Please explain your rating:
2.
On a scale of 1 to 5, with 1 representing “Not At All Useful” and 5 representing “Very Useful,” how useful was the information
you received during the event?
1
2
3
4
5
Not At All Useful
Not Useful
Somewhat Useful
Useful
Very Useful
3.
Thinking back, what aspects of the event were most useful to you and why?
4.
In the Participant Feedback Form you completed online immediately following the event, you indicated that you would apply
the information from the event in the following ways:
Grant writing/Fundraising
Improve reporting methods
Improve technology/websites
My own professional development
Provide information to clients/families/youth
Program/Practice improvement
Public awareness/advocacy
Train/educate others (staff/colleagues)
Research
Policy Development
Other: __________________________
In the weeks since the event, in which ways have you actually been able to apply the information from the event?
Grant writing/Fundraising
Improve reporting methods
Improve technology/websites
My own professional development
Provide information to clients/families/youth
Program/Practice improvement
OMB # 1121-0277
Date of Expiration: 09/30/14
OJJDP NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER
FOLLOW-UP PARTICIPANT INTERVIEW FEEDBACK FORM
Public awareness/advocacy
Train/educate others (staff/colleagues)
Research
Policy Development
Other: __________________________
5.
Please give an example of how you have been able to apply the information (e.g., successes)?
6.
What could have been done differently to make the event more useful to you and applicable to your work?
7.
What other additional comments/suggestions do you have regarding the event that you attended?
Thank you for taking time to participate in this interview!
This survey is intended to be given over the phone; however, in the case of paper surveys please send completed follow-up interview forms to:
Christine Leicht, OJJDP NTTAC Evaluation Manager, Christine.Leicht@icfi.com
File Type | application/pdf |
File Title | OVC TTAC - USER FEEDBACK FORM |
Author | goellen |
File Modified | 2013-06-25 |
File Created | 2013-06-25 |