Child Welfare Virtual Conference Exit Survey

Child Welfare Virtual Expo

Exit Survey

OMB Control No.: 0970-0501

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)   The purpose of this information collection is to gather feedback on capacity building products and services to better meet the needs of child welfare professionals. Public reporting burden for this collection of information is estimated to average 5 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 that collection of information displays a currently valid OMB control number. If you have any comments on this collection of information, please contact Christine Leicht, Capacity Building Center for States Evaluation Lead, by e-mail at Christine.leicht@icf.com.

Expiration Date: xx/xx/xxxx

The Capacity Building Center for States is committed to continuously improving the relevance and utility of services provided. Please take a few minutes to provide your feedback on the Child Welfare Virtual Expo (CWVE) [Insert Year]. Your comments will be incorporated into future activities planning and will help strengthen Center for States services to better meet your needs. Your participation in this survey is entirely voluntary, and your responses will be held private. The survey should take about 5 minutes to complete. If you have any questions, please contact Christine Leicht, Capacity Building Center for States Evaluation Lead, at christine.leicht@icf.com.

Please indicate your agreement with the following statements.

	Strongly Disagree	Disagree	Somewhat Disagree	Neither Agree nor Disagree	Somewhat Agree	Agree	Strongly Agree
Overall, I was satisfied with my experience with the Virtual Expo.	1	2	3	4	5	6	7
I would recommend participation in a Virtual Expo to others.	1	2	3	4	5	6	7
The virtual expo featured topics that are timely and current.	1	2	3	4	5	6	7
There were adequate opportunities to interact with the presenters and other participants during the virtual expo.	1	2	3	4	5	6	7
I have discovered new tools, ideas, and ways of thinking through my participation in the CWVE.	1	2	3	4	5	6	7
As a result of my participation, I had an opportunity to network and connect with new people.	1	2	3	4	5	6	7
The information I learned through the event will be helpful in my work.	1	2	3	4	5	6	7
As a result of my participation, I… [increased my knowledge of…; have a better understanding of… [INSERT ONE QUESTION FOR EACH LEARNING OBJECTIVE FOR THE EVENT]	1	2	3	4	5	6	7

Below is a list of technologies or activities that were used during the Virtual Expo.

On a scale of 1 (poor) to 5 (excellent), please rate your experience with each.

	1- Poor	2	3	4	5 - Excellent	Not Applicable: I did not participate in this activity
[Insert technology or activity]	1	2	3	4	5	N/A
[Insert technology or activity]	1	2	3	4	5	N/A
[Insert technology or activity]	1	2	3	4	5	N/A
[Insert technology or activity]	1	2	3	4	5	N/A
[Insert technology or activity]	1	2	3	4	5	N/A

14. How do you intend to use what you learned today in your work? (Select all that apply)

• Support program improvement

• Support policy development

• Provide information to clients/families

• Provide information to my peers

• Support public awareness/advocacy efforts

• Grant writing/Fundraising

• Train staff/colleagues (can be formal or informal)

• Conduct research & evaluation

• My own professional development

• I will not be able to apply this to my work

• Other (Please describe): ___________

15. Would you attend another CWVE in the future?

• Yes

• No

• Maybe

16. Please explain why you would or would not attend a future CWVE: ________

17. Please provide any comments you would like to share with the CWVE planning team: _______

18. What topics would you like to see the Center include in future CWVE’s? _________

For Questions 9-13: select from the following technologies/activities:

• Sessions (1-hour sessions on various topics)

• Exhibit Hall

• Resource Library (area to view and download tools, guides, etc.)

• Transfer of Learning (breakout rooms with an array of tools to promote dialogue, reflection, and help put thoughts into action)

• Polling Questions (during sessions)

• Network Lounge (area to virtually meet and chat with other participants)

• Badges (earned for participation in various activities)

• “Meet the Speaker” (moderated chat session in the Networking Lounge or Exhibit Hall after each session)

• Games

• Other technologies/activities

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