OMB
# 1121-0277
Date of Expiration: 9/30/2010
Insert Conference Title
<Insert conference session title, date, and time>
Thank you for attending this session. Your feedback is indispensable in our ongoing efforts to improve the support that OJJDP NTTAC provides. Your participation is completely voluntary.
For Questions 1–18, please indicate the extent to which you agree or disagree with the following statements about the session.
1 – I Strongly Disagree with this statement (SD).
2 – I Disagree with this statement (D).
3 – I Neither agree nor disagree with this statement (N).
4 – I Agree with this statement (A).
5 – I Strongly Agree with this statement (SA).
NA – Not Applicable (NA).
FEEDBACK ON PRESENTERS (<insert presenter names>) |
SD |
D |
N |
A |
SA |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
FEEDBACK ON SESSION |
SD |
D |
N |
A |
SA |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
What aspects of the session were most helpful and why?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
What part of this session would you suggest changing to make it better for future participants?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________
19. Additional comments:
________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________
Thank you for your time. We appreciate your feedback!
File Type | application/msword |
File Title | OVC TTAC - USER FEEDBACK FORM |
Author | goellen |
Last Modified By | 15067 |
File Modified | 2010-07-02 |
File Created | 2010-07-02 |