OMB
# 1121-0277
Date of Expiration: 9/30/2010
OJJDP National Training and Technical Assistance Center
Training/TA Participant Follow-up Phone Interview
Interview Date: _____________________
Interview Start Time:_____________ Stop time:_____________ Duration:_____________(minutes)
Participant’s Name:____________________________________
Name of Participant’s Agency/Organization:___________________________________
Phone:____________________________
Name of Training/TA Session: ______________________________
Instructor(s): ____________________________________
Approximately 3 months ago, you attended an OJJDP NTTAC training/TA session entitled <insert name of event>, led by <insert consultant(s) name>. We are contacting participants from that session who indicated that they would be willing to participate in a brief follow-up survey. Your feedback is indispensable in improving the services that OJJDP NTTAC provides to the field. The confidentiality of the information you provide is guaranteed. OJJDP will never have access to what you, as an individual, say during this interview. Your responses to these questions will be reported only in aggregate and will never identify you as an individual. Your participation in this interview is completely voluntary. You may decline to participate in this interview at any time without consequences or penalties. The interview will last approximately ___minutes. Would you like to participate in this interview? Do you have time right now to participate? If no, when would be a good time for you? If yes, do you have any questions before we begin?
Please indicate your responses to the following questions, on a scale of 1 to 5, with 1 representing “strongly disagree” and 5 representing “strongly agree.” Base your answers on how you feel about the training/TA session now.
On a scale of 1 to 5, with 1 representing “strongly disagree” and 5 representing “strongly agree,” to what extent do you agree or disagree with the following statement: the training/TA has enabled me to serve my clients better. Please explain your rating.
1 2 3 4 5 NA
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On a scale of 1 to 5, with 1 representing “not helpful at all” and 5 representing “extremely helpful,” how helpful was the information you learned at the training/TA? Please explain your rating.
1 2 3 4 5 NA
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Did you gain any new skills as a result of attending the training/TA?
Yes
No
If yes, what new skills did you gain?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Did you gain any new knowledge as a result of attending the training/TA?
Yes
No
If yes, what new knowledge did you gain?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Was there a change in your attitude toward the clients you serve as a result of attending this training/TA?
Yes
No
If yes, in what way has your attitude changed?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Was there a change in your attitude toward the organization/agency you work for as a result of attending this training/TA?
Yes
No
If yes, in what way has your attitude changed?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
In the participant feedback form you completed immediately following the training/TA session, you identified the following three action steps that you planned to take as a result of attending the session. <read participant’s responses> What progress have you made toward these action steps?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Have you encountered any obstacles or barriers in taking these action steps?
Yes
No
If yes, what were they and how have you addressed these obstacles or barriers?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Have you been able to apply the information you learned from the training/TA session to your job? (Probe: sharing information with colleagues, serving clients in a different way, implementing changes to agency/organization)
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Looking back, which part of the session has been most helpful to you and why? What could have been done differently during the training/TA session to have made it more useful to you now?
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Do you have any other comments or suggestions you’d like to make regarding the training/TA session you attended? ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Thank you for taking the time to participate in this interview. We value your input!
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 |