OMB Control Number: 0970-0401
Expiration Date: 6/30/2024
PMFO Workshop Feedback Survey
Thank you for participating in the [workshop name/intensive event name]. To help ensure the quality of our services, we ask that you complete the following feedback survey. This survey is voluntary, and all feedback will be kept private. To further protect your privacy please refrain from including personally identifiable information in open-ended responses.
Please note that some survey items use a multi-point scale. If you are taking the survey on your phone, you may have to scroll down to see the entire scale. When finished, click the "Submit" button at the bottom of the final page to record your responses. You are free to move throughout the survey and change responses until you click "Submit".
THE PAPERWORK REDUCTION ACT OF
1995 (Pub. L. 104-13)
The
purpose of this information collection is to improve future service
delivery. Public reporting burden for this collection of information
is estimated to average 10 minutes per respondent, including the time
for reviewing instructions, gathering and maintaining the data
needed, and reviewing the collection of information. This is a
voluntary collection of information. An agency may not conduct or
sponsor, and a person is not required to respond to, a collection of
information subject to the requirements of the Paperwork Reduction
Act of 1995, unless it displays a currently valid OMB control number.
The OMB # is 0970-0401 and the expiration date is 06/30/2024. If you
have any comments on this collection of information, please contact
Alma Bartnik at abartnik@donahue.umass.edu.
Overall Workshop Feedback
Q1. What is your primary organizational affiliation?
Head Start or Early Head Start Grantee/Recipient
Non-Head Start or Early Head Start Grantee/Recipient
I’m not sure
[Q2a only displayed if “Head Start or Early Head Start Grantee/Recipient” is selected in Q1. Drilldown options in italics and green font for each response category in Q2a will are only displayed if associated response option is selected.]
Q2a. What is your primary role within your organization?
CEO, CFO, or Executive
Director (please specify)
Program Director of Head Start or Early Head Start program
Center Director
Site Director
Assistant Director or Associate Director (please specify)
_________________
Manager or Coordinator (please specify)
Fiscal
Education
Health
Mental Health
Nutrition
Disability Services
Infants and Toddlers
Family Services
Non-Managerial Fiscal/Accounting Staff
Family Advocate / Family Services
Other (please specify)
Governing Body (i.e., Board of Directors)
Tribal Council
Policy Council
Specialist or Consultant (please specify)
Fiscal
Education
Health
Mental Health
Nutrition
Disability Services
Infants and Toddlers
Family Services
Program Support or Administrative Assistant
Teacher
Coach / Mentor
Home Visitor
Parent / Guardian
Volunteer
Other ________________
[Q2b only displayed if “Non-Head Start or Early Head Start Grantee/Recipient” is selected in Q1. Drilldown options in italics and green font for each response category in Q2b will are only displayed if associated response option is selected.]
Q2b. What is your primary role within your organization?
Federal Staff (please specify)
Central Office
Regional Office
Regional TTA Team/Specialist
Other (please specify)
State Head Start Collaboration Office
State Agency Staff
State Head Start Association
Regional Head Start Association
National Head Start Association
Office of Child Care (please specify)
Contracting Officer
Regional Office
State Capacity Building Center (SCBC)
[Q2c only displayed if “I’m not sure” is selected in Q1.]
Q2c. What is your primary role within your organization?
Respondent would see all the above as shown in Q2a and Q2b.
Q3. How many years have you served in this role?
Less than 1 year
1 to 4 years
5 to 9 years
10 or more years
For the following questions, please think about the [name of workshop/intensive event] in its entirety.
Q4. Please select your level of agreement with the following statements about the training’s presenters:
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Strongly agree |
Agree |
Disagree |
Strongly disagree |
Don't know / NA |
*a. The presenter(s) were knowledgeable in the content area(s). |
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*b. The presenter(s) were effective in communicating key information. |
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*c. The presenter(s) were responsive to participants’ questions. |
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*d. The presenter(s) were effective in engaging participants. |
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* Two of these four items will be randomly chosen for each participant using our survey program’s random question generator.
Q5. Please select your level of agreement with the following statements about the training:
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Strongly agree |
Agree |
Disagree |
Strongly disagree |
Don't know / NA |
a. The content of the training was relevant to my work. |
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*b. The resources provided during the training were useful for my work. |
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*c. The resources provided during the training were relevant for my work. |
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*d. The training provided me with knowledge of available resources. |
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*e. The presentation materials were easy to read and understand. |
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* Two of these four items will be randomly chosen for each participant using our survey program’s random question generator.
Q6. Please select your level of agreement with the following statements about the training:
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Strongly agree |
Agree |
Disagree |
Strongly disagree |
Don't know / NA |
a. The information presented was respectful, non-judgmental, and supportive of diverse populations (i.e., free from stereotypes or bias). |
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b. The content of the presentation was inclusive of diverse cultural experiences and backgrounds. |
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c. The content of the presentation will help me be more culturally responsive in my work. |
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Q7. Please let us know whether you found the content presented during the [insert event name] to be too simple, too advanced, or just about right.
Far too advanced
A bit too advanced
About right
A bit too simple
Far too simple
Q8a. Before this training, my knowledge of the content/topics addressed can be best described as…
No knowledge
Minimal knowledge
Moderate knowledge
A high level of knowledge
Q8b. After this training, my knowledge of the content/topics addressed can be best described as…
No knowledge
Minimal knowledge
Moderate knowledge
A high level of knowledge
Q8c. How much did the event increase your knowledge of the topic(s) presented?
No Increase
Small Increase
Moderate Increase
Large Increase
Q9. Please select your level of agreement with the following statements about the training:
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Strongly agree |
Agree |
Disagree |
Strongly disagree |
Don't know / NA |
a. The environment was supportive of learning. |
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b. The instructor provided feedback to the training participants on the achievement of learning outcomes. |
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c. I believe that the stated learning outcomes for this training were met. |
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Q10. Please select your level of agreement with the following statements about the training:
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Strongly agree |
Agree |
Disagree |
Strongly disagree |
Don't know / NA |
a. The training deepened my knowledge of the topics presented |
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b. I learned something during this training that I plan to use in my work. |
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c. I plan to share the information received during the training with others. |
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Q11a. Please give an example of one action step you will take as a result of the knowledge you gained from this training.
Q11b. Please identify one concept or skill you learned during the [insert event name] that you will use in your work.
Q12. What factors, if any, may prevent you from using what you learned? (Check all that apply).]
Lack of time.
Limited funds or other resources.
Lack of personnel
Staff turnover
Lack of support/guidance from program leadership.
Misalignment with parent needs/goals.
Not a good fit.
Lack of staff engagement.
Lack of cultural relevance.
Other (please describe)
There are no factors that may prevent me from using what I learned.
Q13. I was satisfied with the overall quality of this training.
Strongly agree
Agree
Disagree
Strongly disagree
Q14. Would you recommend this training to your peers?
Yes
Yes, with reservations
No
Q15. How can we improve this training?
Q16. In thinking about the topic(s) covered during this training, what follow-up support(s) or resource(s) would be most useful to you? [As needed, PMFO may substitute this open-ended question format with a customized drop-down menu, based on topics covered during the training.]
Q17. Other comments:
Activity/Resource/Session Specific Feedback
Reviewer’s Note: The following stock question blocks may be customized and used to provide feedback regarding the individual activities/resources/sessions offered during the workshop/intensive event on an as-needed basis.
The following questions relate more specifically to the activities/resources/sessions covered at this workshop/intensive event:
Activity/resource/session 1: [insert name]
Activity/resource/session 2: [insert name]
Activity/resource/session 3: [insert name]
Q1a. Activity/resource/session 1: [insert name]. I was satisfied with this portion of the training.
Strongly agree
Agree
Disagree
Strongly disagree
Don’t know / Not applicable
Q1b. Please identify one concept or skill you learned related to this activity/resource/session that you will use in your work.
Q2a. Activity/resource/session 2: [insert name]. I was satisfied with this portion of the training.
Strongly agree
Agree
Disagree
Strongly disagree
Don’t know / Not applicable
Q2b. Please identify one concept or skill you learned related to this activity/resource/session that you will use in your work.
Q3a. Activity/resource/session 3: [insert name]. I was satisfied with this portion of the training.
Strongly agree
Agree
Disagree
Strongly disagree
Don’t know / Not applicable
Q3b. Please identify one concept or skill you learned related to this activity/resource/session that you will use in your work.
PMFO Workshop Feedback Survey
– 11/29/2021 Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | PMFO Panel Distribution Survey*NEW 5.12* |
Author | Jett, Catherine |
File Modified | 0000-00-00 |
File Created | 2022-05-20 |