OMB
Number: 0970-0519 Expiration
Date: XX/XX/XXXX
INTENSIVE TRAINING AND
TECHNICAL ASSISTANCE PRE-SURVEY Form
PRE-TRAINING SURVEY
In order to help the Office on Trafficking in Persons’ National Human Trafficking Training and Technical Assistance Center (NHTTAC) 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, including reporting all information in aggregate to avoid identifying information. Only members of the NHTTAC Evaluation Team have access to information that could identify respondents. If you have any questions about this survey or the evaluation, please contact [insert].
Please provide your email address to enable us to track your participation across NHTTAC offerings and your preferences/ insights provided. You will be prompted to provide this same email address each time.
If you do not have an email address or prefer to use a unique identifier, create a username to be used and retained for future NHTTAC evaluations. Username example: Provide your two-digit birth month, first initial, and middle initial (e.g., 08JD) ______________________________________________________
In the questions beginning on page 2, we share competencies reflected in the [Insert NHTTAC T/TA type] goals and framework to establish (1) how important these competencies are to you, (2) changes in knowledge after going through [Insert NHTTAC T/TA type], and (3) changes in ability to apply skills after going through [Insert NHTTAC T/TA type]. We will ask you to rate importance of competencies, knowledge of competencies, and ability to apply skills related to competencies, on a scale from 1 (None) to 5 (High). Please use the following definitions to provide your ratings for importance, knowledge, and skills:
Importance
of competencies:
None: I am not aware of the competency and/or it is not applicable/important to my professional role.
Very Low: This competency is important in very few aspects of my professional role.
Low: This competency is important in some aspects of my work but not in most aspects of my professional role.
Medium: This competency is important in many aspects of my professional role but not all aspects.
High: This competency is important in nearly all aspects of my professional role.
Knowledge of competencies:
None: I am not aware of the competency and/or have no knowledge of the competency.
Very Low: I am aware of the competency, but I have little knowledge of the competency.
Low: I understand some components of the competency but do not have a full understanding of most components.
Medium: I understand most components of the competency.
High: I have a full understanding of the competency.
Ability to apply skills related to competencies:
None: I am not aware of the competency and/or have no ability to apply the competency.
Very Low: I am aware of the competency, but I have little experience applying it in my professional role.
Low: I can apply the competency in simple situations and require frequent guidance.
Medium: I can apply the competency in somewhat difficult situations and require occasional guidance.
High: I can apply the competency in considerably difficult situations and generally require little or no guidance.
Please rate the levels of importance, knowledge, and ability to apply skills for each of the following [Insert intensive T/TA type]competencies:
COMPETENCIES |
None |
Very Low |
Low |
Medium |
High |
[Insert Competency 1-50] |
|
|
|
||
Level of Importance and Knowledge of Competency |
|
|
|
||
[Insert sub-competency #1 through #50] |
|
|
|
|
|
Level of Importance |
1 |
2 |
3 |
4 |
5 |
Knowledge |
1 |
2 |
3 |
4 |
5 |
Ability to Apply This Skill |
|
|
|
|
|
[Insert sub-competency #1 through #50] |
1 |
2 |
3 |
4 |
5 |
Please rate your level of confidence with the following skills, practices, and policies before participating in this program:
GUIDING PRINCIPLES |
Not at All Confident |
Very Confident |
My ability to apply [Insert key principles of trauma-informed care #1-3] into my work. |
1 |
8 |
My ability to apply [Insert person centered practices #1-3] into my work. |
1 |
8 |
My ability to apply [Insert survivor-informed practices #1-3] into my work. |
1 |
8 |
My ability to apply current [Insert evidence based or promising practices #1-3] into my work. |
1 |
8 |
My ability to apply [Insert culturally and linguistically appropriate practices #1-3] into my work. |
1 |
8 |
My ability to apply [Insert elements of a public health approach #1-3] to addressing human trafficking into my work. |
1 |
8 |
My ability to apply [Insert multidisciplinary practices #1-3] into my work. |
1 |
8 |
My ability to apply [Insert equity-focused approaches #1-3] into my work. |
1 |
8 |
Please select the number that best represents your rating for each of the following questions.
How satisfied were you with the application and selection process for this program?
1 |
|
|
8 |
Very Dissatisfied |
|
|
Very Satisfied |
How satisfied were you with your preparedness to participate in [Insert intensive T/TA type]?
1 |
|
|
8 |
Very Dissatisfied |
|
|
Very Satisfied |
What could be done differently in the participant selection process for this program?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Please indicate the extent to which you agree or disagree with the following statements.
PLANNING |
Strongly Disagree |
Strongly Agree |
NHTTAC was well organized in the planning of [Insert intensive T/TA type]. |
1 |
8 |
NHTTAC was flexible, responsive, and accommodating to my questions and needs. |
1 |
8 |
NHTTAC helped me adequately prepare for the program. |
1 |
8 |
NHTTAC prepared me to use the technology platforms necessary for participation in the T/TA (e.g., Mural, Zoom). |
1 |
8 |
NHTTAC staff was detail-oriented and thorough in the planning of [Insert intensive T/TA type]. |
1 |
8 |
NHTTAC was timely throughout the planning process. |
1 |
8 |
The planning for [Insert intensive T/TA type] was well coordinated. |
1 |
8 |
What else would have been helpful in preparing for this program?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What obstacles or challenges, if any, did you encounter in the planning of [Insert intensive T/TA type]?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How prepared to you feel in implementing [Insert topic of T/TA] in your daily work?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What could be done differently to improve NHTTAC’s support in the planning of [Insert intensive T/TA type]?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
In your professional capacity, how frequently do you come into contact with individuals who have experienced trafficking or who have increased risk factors for trafficking?
1 |
|
|
8 |
Never |
|
|
Daily |
Do you have any other comments or suggestions?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Thank you for taking the time to complete this form and helping to improve [Insert NHTTAC/SOAR] activities.
MID-STREAM SURVEY
In order to help the Office on Trafficking in Persons’ National Human Trafficking Training and Technical Assistance Center (NHTTAC) 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, including reporting all information in aggregate to avoid identifying information. Only members of the NHTTAC Evaluation Team have access to information that could identify respondents. If you have any questions about this survey or the evaluation, please contact [insert].
Please provide your email address to enable us to track your participation across NHTTAC offerings and your preferences/insights provided. You will be prompted to provide this same email address each time.
If you do not have an email address or prefer to use a unique identifier, create a username to be used and retained for future NHTTAC evaluations. Username example: Provide your two-digit birth month, first initial, and middle initial (e.g., 08JD)
______________________________________________________
Please indicate the extent to which you agree or disagree with the following statements:
OVERALL TRAINING |
Strongly Disagree |
Strongly Agree |
|
[Insert readiness measure for T/TA activity on competency #1-5 tailored to the specific individual or organization]. |
1 |
8 |
How can NHTTAC support you and your organization in developing your [Insert T/TA product] (e.g., overcoming barriers)?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Are there any topics you think should be covered in more depth to enable you to succeed with [Insert T/TA product]? Please explain.
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What could be done differently to improve your experience so far with [Insert intensive T/TA type]?
__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How has/will the [Insert T/TA type] help your agency in responding to human trafficking? Please provide any examples of successes from this collaboration or challenges/barriers to what you may have intended/planned?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Briefly describe how you have applied what you learned through the [Insert T/TA type] (i.e., processes, policies, organizational
change, organizational capacity)?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
Thank you for taking the time to complete this form and helping to improve [Insert NHTTAC/SOAR] activities
POST-TRAINING SURVEY
In order to help the Office on Trafficking in Persons’ National Human Trafficking Training and Technical Assistance Center (NHTTAC) 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, including reporting all information in aggregate to avoid identifying information. Only members of the NHTTAC Evaluation Team have access to information that could identify respondents. If you have any questions about this survey or the evaluation, please contact [insert].
In the questions beginning on page 2, we share competencies reflected in the [Insert NHTTAC T/TA type] goals and framework to establish (1) how important these competencies are to you, (2) changes in knowledge after going through [Insert NHTTAC T/TA type], and (3) changes in ability to apply skills after going through [Insert NHTTAC T/TA type]. We will ask you to rate importance, knowledge, and ability to apply skills on a scale from 1 (None) to 5 (High). Please use the following definitions to provide your ratings for importance, knowledge, and skills:
Importance of competencies:
None: I am not aware of the competency and/or it is not applicable/important to my professional role.
Very Low: This competency is important in very few aspects of my professional role.
Low: This competency is important in some aspects of my work but not in most aspects of my professional role.
Medium: This competency is important in many aspects of my professional role but not all aspects.
High: This competency is important in nearly all aspects of my professional role.
Knowledge of competencies:
None: I am not aware of the competency and/or have no knowledge of the competency.
Very Low: I am aware of the competency, but I have little knowledge of the competency.
Low: I understand some components of the competency but do not have a full understanding of most components.
Medium: I understand most components of the competency.
High: I have a full understanding of the competency.
Ability to apply skills related to competencies:
None: I am not aware of the competency and/or have no ability to apply the competency.
Very Low: I am aware of the competency, but I have little experience applying it in my professional role.
Low: I can apply the competency in simple situations and require frequent guidance.
Medium: I can apply the competency in somewhat difficult situations and require occasional guidance.
High: I can apply the competency in considerably difficult situations and generally require little or no guidance.
Please rate the levels of importance, knowledge, and ability to apply skills for each of the following [Insert T/TA type] competencies:
COMPETENCIES |
None |
Very Low |
Low |
Medium |
High |
[Insert Competency 1-50] |
|
|
|
||
Level of Importance and Knowledge of Competency |
|
|
|
||
[Insert sub-competency #1 through #50] |
|
|
|
|
|
Level of Importance |
1 |
2 |
3 |
4 |
5 |
Knowledge |
1 |
2 |
3 |
4 |
5 |
Ability to Apply This Skill |
|
|
|
|
|
[Insert sub-competency #1 through #50] |
1 |
2 |
3 |
4 |
5 |
Please rate your level of confidence with the following skills, practices, and policies before participating in this program:
GUIDING PRINCIPLES |
Not at All Confident |
Very Confident |
My ability to apply [Insert key principles of trauma-informed care #1-3] into my work. |
1 |
8 |
My ability to apply [Insert person centered practices #1-3] into my work. |
1 |
8 |
My ability to apply [Insert survivor-informed practices #1-3] into my work. |
1 |
8 |
My ability to apply current [Insert evidence based or promising practices #1-3] into my work. |
1 |
8 |
My ability to apply [Insert culturally and linguistically appropriate practices #1-3] into my work. |
1 |
8 |
My ability to apply [Insert elements of a public health approach #1-3] to addressing human trafficking into my work. |
1 |
8 |
My ability to apply [Insert multidisciplinary practices #1-3] into my work. |
1 |
8 |
My ability to apply [Insert equity-focused approaches #1-3] into my work. |
1 |
8 |
Please indicate the extent to which you agree or disagree with the following statements:
FACILITATOR 1: |
Strongly Disagree |
Strongly Agree |
The facilitator’s knowledge was appropriate for [Insert topic]. |
1 |
8 |
The facilitator’s expertise was appropriate for [Insert topic]. |
1 |
8 |
The facilitator delivered the content clearly and logically. |
1 |
8 |
The facilitator provided detailed/comprehensive responses to questions and comments. |
1 |
8 |
The facilitator created an environment for humble and respectful reflection. |
1 |
8 |
The facilitator encouraged and initiated helpful discussions. |
1 |
8 |
The facilitator’s coaching helped me develop a plan to implement [Insert topic]. |
1 |
8 |
The facilitator’s coaching helped me implement [Insert topic]. |
1 |
8 |
The facilitator helped facilitate the right partnerships for me to accomplish my goals. |
1 |
8 |
The facilitator encouraged me create a more inclusive and equitable approach to implementing [Insert topic]. |
1 |
8 |
I felt like I belonged and had ample opportunity to actively participate in the learning process. |
1 |
8 |
The facilitator’s expertise enhanced the knowledge and skills I learned. |
1 |
8 |
The facilitator created space for discussion of personal and professional experiences and multiple viewpoints. |
1 |
8 |
The facilitator used diverse examples and facilitation strategies to ensure the content was relevant to my identity. |
1 |
8 |
The facilitator used diverse examples and facilitation strategies to ensure the content was relevant to my learning styles. |
1 |
8 |
The facilitator encouraged conversations exploring the roles of oppression and systemic inequality in trafficking prevention and intervention. |
1 |
8 |
The facilitator shared power and offered opportunities for me to collaborate and contribute to decision making. |
1 |
8 |
The facilitator used [Insert competency to assess facilitator’s knowledge/experience]. |
1 |
8 |
The facilitator used [Insert competency to assess facilitator’s knowledge/experience]. |
1 |
8 |
FACILITATOR 2: |
Strongly Disagree |
Strongly Agree |
The facilitator’s knowledge was appropriate for [Insert topic]. |
1 |
8 |
The facilitator’s expertise was appropriate for [Insert topic]. |
1 |
8 |
The facilitator delivered the content clearly and logically. |
1 |
8 |
The facilitator provided detailed/comprehensive responses to questions and comments. |
1 |
8 |
The facilitator created an environment for humble and respectful reflection. |
1 |
8 |
The facilitator encouraged and initiated helpful discussions. |
1 |
8 |
The facilitator’s coaching helped me develop a plan to implement [Insert topic]. |
1 |
8 |
The facilitator’s coaching helped me implement [Insert topic]. |
1 |
8 |
The facilitator helped facilitate the right partnerships for me to accomplish my goals. |
1 |
8 |
The facilitator encouraged me create a more inclusive and equitable approach to implementing [Insert topic]. |
1 |
8 |
I felt like I belonged and had ample opportunity to actively participate in the learning process. |
1 |
8 |
The facilitator’s expertise enhanced the knowledge and skills I learned. |
1 |
8 |
The facilitator created space for discussion of personal and professional experiences and multiple viewpoints. |
1 |
8 |
The facilitator used diverse examples and facilitation strategies to ensure the content was relevant to my identity. |
1 |
8 |
The facilitator used diverse examples and facilitation strategies to ensure the content was relevant to my learning styles. |
1 |
8 |
The facilitator encouraged conversations exploring the roles of oppression and systemic inequality in trafficking prevention and intervention. |
1 |
8 |
The facilitator shared power and offered opportunities for me to collaborate and contribute to decision making. |
1 |
8 |
The facilitator used [Insert competency to assess facilitator’s knowledge/experience]. |
1 |
8 |
The facilitator used [Insert competency to assess facilitator’s knowledge/experience]. |
1 |
8 |
Please indicate the extent to which you agree or disagree with the following statements:
NHTTAC STAFF [Insert staff role]: |
Strongly Disagree |
Strongly Agree |
The [Insert T/TA-specific topic] process was effective. |
1 |
8 |
The support provided by NHTTAC staff during the trainings was helpful. |
1 |
8 |
The interim support and check-ins provided by NHTTAC staff between seminars were helpful. |
1 |
8 |
The emotional support staff was responsive to my needs. |
1 |
8 |
Communication with NHTTAC staff was clear and effective. |
1 |
8 |
I am satisfied with the overall support provided by NHTTAC staff throughout the fellowship program. |
1 |
8 |
OVERALL T/TA PLAN GOALS |
1 Not Planned |
2 Planned, But Not Started |
3 Began Implementation |
4 Partial Implementation |
5 Extensive Implementation |
[Insert T/TA goal #1 through #5] |
|||||
[Insert grantee milestone #1 through #5] |
1 |
2 |
3 |
4 |
5 |
Please rate the impact of NHTTAC T/TA on achieving your organization’s goals:
1 |
2 |
3 |
4 |
5 |
6 |
7 |
8 |
No Impact |
|
|
Moderate Impact |
|
|
|
Profound and Enduring Impact |
Please indicate the degree to which each of the following T/TA activities contributed to your organization accomplishing the
T/TA plan goals.
T/TA ACTIVITIES |
Poor |
Excellent |
Not Applicable |
[Insert T/TA type #1-5] |
1 |
8 |
N/A |
Please explain your ratings:
______________________________________________________________________________________________________
______________________________________________________________________________________________________
______________________________________________________________________________________________________
Please indicate the extent to which you agree or disagree with the following statements:
OVERALL FEEDBACK |
Strongly Disagree |
Strongly Agree |
The T/TA addressed the critical issues related to the topic(s). |
1 |
8 |
The time allotted was adequate for the scope of material. |
1 |
8 |
The T/TA was clear and easy to understand. |
1 |
8 |
The T/TA met my educational needs. |
1 |
8 |
The T/TA met my professional needs. |
1 |
8 |
The materials provided during this T/TA were useful. |
1 |
8 |
The format of the T/TA contributed to a positive learning environment. |
1 |
8 |
The T/TA was trauma informed. |
1 |
8 |
The T/TA was culturally and linguistically appropriate. |
1 |
8 |
I am confident the knowledge and skills that I learned will be useful for my practice and/or for my professional development. |
1 |
8 |
I will be able to apply what I learned in my work. |
1 |
8 |
The T/TA improved my ability to serve individuals who have experienced trafficking or who have increased risk factors for trafficking. |
1 |
8 |
I felt like I was heard, my thoughts were valued, and I had ample opportunity to actively participate in the learning process. |
1 |
8 |
The T/TA incorporated relatable connections to the topics. |
1 |
8 |
The content reflected perspectives, data, and theories related to various identities rather than only mainstream perspectives. |
1 |
8 |
The T/TA was a good way for me to learn the content. |
1 |
8 |
The material was appropriate for my level of experience and knowledge. |
1 |
8 |
The discussion questions enhanced my learning. |
1 |
8 |
The activities provided appropriate and effective opportunities for active learning (e.g., case studies, discussion, Q&A, etc.). |
1 |
8 |
The T/TA provided ample opportunity and encouragement for participants to interact with each other meaningfully. |
1 |
8 |
I believe the demographic composition of my [Insert cohort, workgroup] is well supported and enhanced my learning. |
1 |
8 |
I believe the [Insert T/TA activity] assisted my understanding and application of the tools for collaboration. |
1 |
8 |
This T/TA prepared me to develop partnerships to implement [Insert topic]. |
1 |
8 |
Please select the number that best represents your rating of this T/TA for each of the following questions.
How satisfied were you with your overall NHTTAC experience?
1 |
|
|
8 |
Very Dissatisfied |
|
|
Very Satisfied |
Please rate the overall quality of this T/TA.
1 |
|
|
8 |
Poor |
|
|
Excellent |
How well did this T/TA meet your expectations?
1 |
|
|
8 |
Was Far Below My Expectations |
|
|
Exceeded My Expectations |
How useful was this T/TA to your work?
1 |
|
|
8 |
Not Useful |
|
|
Very Useful |
How prepared do you feel in implementing what you learned from this T/TA in your daily work?
1 |
|
|
8 |
Not At All Prepared |
|
|
Very Prepared |
Please indicate the degree to which you anticipate doing any of the following as a result of participating in this T/TA:
FUTURE PLANS |
Strongly Disagree |
Strongly Agree |
[Insert skill/competency associated with the specific T/TA 1 through 10] |
1 |
8 |
Advocate or meet with the leadership of my organization to develop/enhance vision, mission, or strategic plan. |
1 |
8 |
Advocate or meet with the leadership of my organization to develop/enact policy changes at my organization. |
1 |
8 |
Integrate person-centered strategies. |
1 |
8 |
Integrate survivor-informed strategies. |
1 |
8 |
Integrate trauma-informed strategies. |
1 |
8 |
Improve programs/practices. |
1 |
8 |
Expand services or types of services for individuals who experience trafficking or have increased risk factors for trafficking. |
1 |
8 |
Create relevant, usable, and trauma-informed resources or tools. |
1 |
8 |
Create relevant, usable, and survivor-centered resources or tools. |
1 |
8 |
Improve identification and reporting methods for trafficking. |
1 |
8 |
Develop a lived experience expertise/leadership strategy to ensure all programs, policies, and procedures are survivor informed. |
1 |
8 |
Prioritize recruitment of experts with lived experience who have diverse trafficking experiences. |
1 |
8 |
Engage experts with lived experience in research efforts from design to delivery. |
1 |
8 |
Engage diverse lived experience expertise in the development and delivery of educational materials on trafficking. |
1 |
8 |
Conduct collaborative, community-based research in partnership with experts with lived experience. |
1 |
8 |
Develop/strengthen collaborative or strategic relationships. |
1 |
8 |
Build partnerships to better serve individuals who have experienced trafficking or who have increased risk factors for trafficking. |
1 |
8 |
Begin a new project or initiative. |
1 |
8 |
Provide information to clients/families/youth. |
1 |
8 |
Improve technology/websites/infrastructure. |
1 |
8 |
Write grants/fundraise/identify new funding resources. |
1 |
8 |
Conduct research. |
1 |
8 |
Strengthen evaluation needs or needs assessment activities. |
1 |
8 |
Raise public awareness/advocacy/outreach activities offered to individuals who have experienced trafficking or who have increased risk factors for trafficking. |
1 |
8 |
Change my management/leadership or interpersonal communication style. |
1 |
8 |
Further develop skills and knowledge about serving individuals who have experienced trafficking or who have increased risk factors for trafficking. |
1 |
8 |
Educate others in content/skills learned. |
1 |
8 |
Network with other participants. |
1 |
8 |
Share materials with colleagues. |
1 |
8 |
Take additional training on human trafficking. |
1 |
8 |
Refer colleagues to NHTTAC and OTIP events/resources. |
1 |
8 |
Other (please specify): |
1 |
8 |
Of the barriers listed below, which do you believe will be a significant challenge to performing the activities you selected in the previous question? (Mark all that apply.)
[Insert barrier tailored to the specific T/TA 1 through 10]
Competing priorities
Difficulty establishing and/or maintaining a multidisciplinary team
Excluded from key decision-making opportunities
Experiences of bias or discrimination as it pertains to [insert leadership, practice, policy] (e.g., gender, race, ethnicity, sexual orientation)
Feeling undervalued or not perceived as a leader in my organization
Frequent staff turnover
Lack of support and accountability from frontline staff
Lack of accessible research and/or information
Lack of authority to use new skills in current position
Lack of information and/or data sharing among organizations
Lack of information sharing among organizations
Lack of senior leadership support
Lack of shared responsibility across organizational collaborators
Lack of time to implement changes
Lack of training for staff on how to implement change
Lack of urgency
Need for partnership building with other organizations
Need to improve my own professional development skills
Shortages of key personnel
Variation in mission and regulatory frameworks when partnering with other organizations
Other (please explain): _________________
Would you recommend OTIP/NHTTAC to others to receive T/TA? □ Yes □ No
Please list any professional goals you have achieved through this T/TA.
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How will this [Insert T/TA type] help your agency in responding to human trafficking?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What are the top three aspects of this T/TA that were most helpful and why?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What are the top three ways [Insert T/TA type] improved your effectiveness as a leader?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How did working with the other T/TA recipients impact your training experience?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What were you able to achieve through [Insert T/TA type]? What facilitated your achievements (e.g., mentor, coach,
community partner, skills learned through the T/TA)?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What are the most important skills or qualities NHTTAC should consider when selecting a [Insert facilitator, consultant,
mentor] for similar T/TA efforts?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Were you paired with the appropriate [Insert facilitator, consultant, mentor]? Why or why not?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Overall, what are the program’s strengths?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What could NHTTAC do differently to improve similar T/TA requests in the future?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
How has NHTTAC T/TA impacted you and your professional career? Do you give permission for NHTTAC to include
this quote in reports, on the website, or in other public-facing resources?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you have any other comments or suggestions?
___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Thank you for taking the time to complete this form and helping to improve NHTTAC’s activities.
PAPERWORK
REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN:
The purpose of this information collection is to enable NHTTAC to
collect recipient and stakeholder feedback to improve NHTTAC’s
service delivery. The public reporting burden for this collection
of information is estimated to average 1.17 hours per respondent
for all three surveys, 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. If you have any comments on this collection of information,
please contact the NHTTAC Evaluation Team at NHTTACEval@icf.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 | 2023-08-25 |