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Program Evaluation Instruments - Environmental Conflict Resolution Services Participant Questionnaires (Five Instruments)

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OMB: 3320-0003

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Facilitated	Meeting/Workshop	Evaluation
OMB	Number:	3320-0007
Approval	Expiry	Date:	02/28/2015
The	U.S.	Institute	for	Environmental	Conflict	Resolution	evaluates	all	of	its	services.	As	a	part	of	this	evaluation	we
ask	participants	who	have	been	involved	in	an	Institute	facilitated	meeting	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	Institute.	Please	note	your	responses	to	this
questionnaire	are	confidential.	The	identity	of	individual	respondents	is	not	recorded.	The	Office	of	Management
and	Budget	(OMB)	number	that	is	displayed	on	the	cover	is	currently	valid	and	authorizes	this	collection	of
information.	

Base	Survey:	Facilitated	Meeting/Workshop	Evaluation
1.	What	were	the	key	meeting/workshop	objectives?	

Base	Survey:	Facilitated	Meeting/Workshop	Evaluation
2.	Using	the	scale	below,	please	rate	your	agreement	with	the	following	statements:	

2a.	The	topic	of	this	meeting/workshop	is	important	to	me	or	my	organization.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2b.	The	meeting/workshop	was	well	organized.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2c.	The	facilities	were	suitable	for	the	meeting/workshop	activities.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2d.	The	presentation/delivery	of	materials	was	effective	(e.g.,	appropriate,	useful)	in	reaching
the	meeting/workshop	objectives.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2e.	The	materials	(e.g.,	handouts)	were	a	valuable	supplement	to	the	meeting/workshop.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2f.	The	facilitator(s)’	interaction	with	the	participants	added	value	to	the	meeting/workshop.

0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2g.	The	presenter(s)’	interaction	with	the	participants	added	value	to	the	meeting/workshop.
(leave	blank	if	there	were	no	presenters)	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2h.	The	meeting/workshop	attendees	were	able	to	participate	effectively.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

2i.	This	meeting/workshop	was	an	important	opportunity	for	the	exchange	of	experience	and
information.	
0	-	Do	not	agree	at	all

5	-	Moderately	agree

10	-	Completely	agree

Base	Survey:	Facilitated	Meeting/Workshop	Evaluation
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:	

Base	Survey:	Facilitated	Meeting/Workshop	Evaluation
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:

Most	beneficial	aspects:

Why	they	are	important:

Most	beneficial	aspects:

Why	they	are	important:

Base	Survey:	Facilitated	Meeting/Workshop	Evaluation
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)?	

Base	Survey:	Facilitated	Meeting/Workshop	Evaluation
6.	Please	tell	us	how	this	meeting/workshop	could	have	been	more	effective?	

Base	Survey:	Facilitated	Meeting/Workshop	Evaluation
THANK	YOU	FOR	TAKING	THE	TIME	TO	COMPLETE	THIS	QUESTIONNAIRE.	


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