3320-0003 (C) Facilitated Meeting Workshop Questionnaire

OMB Number: 3320-0003
Agency Tracking Number: 0003C

Facilitated Meeting/Workshop Services
Participant Questionnaire
The John S. McCain III National Center for Environmental Conflict Resolution (National Center) evaluates
all of its services. As a part of this evaluation, we ask participants who have been involved in a National Center
facilitated meeting/workshop to provide us with information about their experience. Your responses will be
used to improve our programs and services. The average estimated reporting burden for this questionnaire is 5
minutes. This estimate includes time for reviewing the instructions and completing the questionnaire. Send
comments regarding this burden estimate or any other aspect of this collection of information, including
suggestions for reducing this burden, to the National Center. Please note your responses to this questionnaire
are confidential. The identity of individual respondents is not recorded.

1. What were the key meeting/workshop objectives?
______________________________________________________________________
______________________________________________________________________
Rating Scale
0

1

2

Do not
agree at all

3

4

5

Moderately
agree

6

7

8

9

10

Completely
agree

2. Using the scale above, please rate your agreement with the following statements:
Rating
_____

a. The topic of this meeting/workshop is important to me or my organization.

_____

b. The meeting/workshop was well organized.

_____

c. The facilities were suitable for the meeting/workshop activities.

_____

d. The presentation/delivery of materials was effective (e.g., appropriate, useful) in
reaching the meeting/workshop objectives.

_____

e. The materials (e.g., handouts) were a valuable supplement to the meeting/workshop.

_____

f.

_____

g. The presenter(s)’ interaction with the participants added value to the meeting/workshop.
 Check if Not Applicable (e.g. there were no presenters)

_____

h. The meeting/workshop attendees were able to participate effectively.

The facilitator(s)’ interaction with the participants added value to the meeting/workshop.

_____

i.

This meeting/workshop was an important opportunity for the exchange of experience and
information.

3. Please indicate the extent to which the key meeting/workshop objectives were achieved:
Check only one


Progress made on all or most key objectives



Progress made on some key objectives



We ended the meeting/workshop without
making much progress at all.

Use the space below if you
would like to elaborate:

4. Please describe the most beneficial aspects of this meeting/workshop and why they are
important to you. Please write “None” or N/A” if you feel this meeting/workshop was not beneficial.
Most beneficial aspects:

Why they are important:

5. What follow-up would you like to see happen after this meeting/workshop (e.g.,
materials made available on the web, follow-up meetings developed)?
_________________________________________________________________
_________________________________________________________________

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6. Please tell us how this meeting/workshop could have been more effective.
_________________________________________________________________
_________________________________________________________________

THANK YOU FOR TAKING THE TIME TO COMPLETE THIS QUESTIONNAIRE.

Please hand in your completed questionnaire at the end of the
meeting/workshop.

PERSONS WITH DISABILITIES WHO REQUIRE ALTERNATIVE MEANS FOR
COMMUNICATION OF PROGRAM EVALUATION INFORMATION SHOULD CONTACT
THE NATIONAL CENTER AT (520) 901-8544.

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