O MB#: 1121-XXXX Online Training
Date of Expiration: XXXX Participant Feedback
In order to help OVC TTAC 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. Only members of the Evaluation Team have access to information that could identify respondents. Answers to these questions will only be reported after aggregating all responses, and the results will never identify you as an individual. Other participants/users, consultants/presenters, OVC staff, OVC TTAC staff, and your employer will not have access to what you as an individual say. Although this survey is completely voluntary, please not that completing this form is a requirement for receiving CEU credit. If you have any questions about this survey or the evaluation, please contact TTACEval@icfi.com.
If you would be willing to participate in a brief followup survey in 3 months, please provide your e-mail: _________________________
Which modules did you complete?
Module |
Yes |
No |
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1 |
0 |
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1 |
0 |
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1 |
0 |
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1 |
0 |
Please indicate the extent to which you agree or disagree with the following statements.
Module [X]: _____________________________________ |
Strongly Disagree |
Disagree |
Neither Agree nor Disagree |
Agree |
Strongly Agree |
Not Applicable |
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1 |
2 |
3 |
4 |
5 |
NA |
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NA |
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NA |
Module [X]: _____________________________________ |
Strongly Disagree |
Disagree |
Neither Agree nor Disagree |
Agree |
Strongly Agree |
Not Applicable |
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1 |
2 |
3 |
4 |
5 |
NA |
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5 |
NA |
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1 |
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NA |
Did the instructor provide feedback on the mastery of the learning objectives to participants? □ Yes □ No
Please indicate the extent to which you agree or disagree with the following statements.
PRESENTER/FACILITATOR 1: ___________________ |
Strongly Disagree |
Disagree |
Neither Agree nor Disagree |
Agree |
Strongly Agree |
Not Applicable |
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1 |
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3 |
4 |
5 |
NA |
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NA |
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NA |
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NA |
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PRESENTER/FACILITATOR 2: ___________________ |
Strongly Disagree |
Disagree |
Neither Agree nor Disagree |
Agree |
Strongly Agree |
Not Applicable |
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1 |
2 |
3 |
4 |
5 |
NA |
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NA |
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NA |
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NA |
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OVERALL SESSION |
Strongly Disagree |
Disagree |
Neither Agree nor Disagree |
Agree |
Strongly Agree |
Not Applicable |
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1 |
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3 |
4 |
5 |
NA |
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NA |
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NA |
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NA |
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NA |
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NA |
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NA |
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NA |
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NA |
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NA |
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NA |
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NA |
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NA |
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NA |
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5 |
NA |
Why did you take this training? (Mark all that apply.)
□ Course requirement □ Personal learning/Professional development
□ Job requirement □ Other (please specify):
□ Certification _____________________________________________
Do you plan to do any of the following as a result of participating in this training? (Mark all that apply.)
□ Share material with colleagues □ Expand services to new victim populations
□ Refer colleagues to other OVC TTAC events/resources □ Expand types of services offered to victims
□ Train/educate others in content/skills learned □ Expand capacity/frequency of services to victims
□ Enact policy changes at my organization □ Strengthen evaluation or needs assessment activities
□ Begin a new project or initiative □ Network with other participants
□ Change my management, leadership, or □ Identify/pursue new funding resources
interpersonal communication style □ Implement/change financial procedures
□ Pursue additional professional development □ Modify outreach/marketing activities
□ Develop/strengthen use of technology or infrastructure □ Develop/enhance vision, mission, or strategic plan
□ Develop/strengthen collaborative or strategic relationships □ Other(s): _____________________________________
Please explain in detail any of these activities: _______________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Would you recommend OVC TTAC to others? □ Yes □ No
What aspects of the training were most helpful and why?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
What could be done differently to improve the training?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Do you have any other comments or suggestions?
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Which of the following best describes the organization in which you work? (Mark all that apply.)
□ Community-Based/Grassroots □ Health/Mental Health Services □ Military
□ Criminal Justice Agency □ Human/Social Services □ Research
□ Education □ Legal Services □ Other (please specify):
□ Faith-Based □ Legislation/Policymaking _________________________
Which types of victim services do you provide for crime victims in your current position? (Mark all that apply.)
□ I do not provide direct services □ Criminal Justice System □ Notification
□ Child Care Advocacy/Assistance □ Transportation
□ Compensation/Restitution □ Housing/Shelter □ 24-Hour Hotline
□ Counseling □ Information/Referral □ Other (please specify):
□ Crisis Intervention □ Medical/SANE/SART _________________________
Which of the following best describes the number of years of experience you have in your current field of work? (Mark one.)
□ Less than 3 years □ 3 to 5 years □ 6 to 10 years □ More than 10 years
Which of the following best describes your primary role in your current position? (Mark all that apply.)
□ Direct Delivery/Front Line Staff □ Consultant/Trainer □ Other (please specify):
□ Management/Administrative Staff □ Volunteer _________________________
Which of the following best describes the population you serve? (Mark all that apply.)
□ National □ Local
□ State □ Urban
□ Tribal □ Rural
□ International, list country: □ Suburban
_________________________________ □ Culturally specific populations(s): ________________________
Thank you for taking the time to complete this form and helping to improve OVC TTAC 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 15 minutes. If you have comments regarding the accuracy of this estimate or additional suggestions, please write to the OVC TTAC evaluation team at TTACEval@icfi.com or 9300 Lee Highway, Fairfax, VA 22031.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Field, Michael |
File Modified | 0000-00-00 |
File Created | 2023-09-02 |