Feedback
Form
Thank
you for attending the meeting. Please provide us with feedback on
your experience by completing this form. Your feedback is valuable
and greatly appreciated.
Please select your role at this event.
Federal Employee
Invited Presenter or Guest
National Organization
State Administrator or State Staff
Territory Administrator or Territory Staff
TA Provider/National Center TA Staff
Overall rating for the regional meeting:
Poor
Fair
Good
Excellent
The information presented was respectful, nonjudgmental, and supportive of diverse populations (i.e., free from stereotypes or bias).
Strongly disagree
Disagree
Agree
Strongly agree
The event was:
Useful and Relevant (i.e., provided you with practical information or a practical perspective to inform your current work)
Not at all
Slightly
Very
Extremely
Influential (i.e., influenced your thinking; enabled you to think differently; helped you analyze, synthesize, or integrate information in a new way)
Not at all
Slightly
Very
Extremely
Well Organized (i.e., thoroughly covered talking points, easy to remember, effectively used the scheduled time)
Not at all
Slightly
Very
Extremely
Please provide any additional comments or ideas.
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is to obtain feedback from participants in OCC’s Regional Grantee Meeting. 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 Stacy Cassell, stacy.cassell@acf.hhs.gov.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Maria Hrabak |
File Modified | 0000-00-00 |
File Created | 2023-08-31 |