OJJDP NTTAC Technical Assistance participant feedback fo

OMB # 1121-0277

Date of Expiration: 9/30/2010

OJJDP National Training and Technical Assistance Center

Technical Assistance Event Feedback Form

Thank you for attending the technical assistance event supported by OJJDP NTTAC. To better serve you, we would like to know how satisfied you are with the quality of the assistance you just received. Your feedback is indispensable in our ongoing efforts to improve the support that OJJDP provides. Your participation is completely voluntary.

EVENT TITLE: pre-printed information

LOCATION: pre-printed information DATE(S): pre-printed information

PRESENTER(S): pre-printed information

For Questions 1–<xx>, please indicate the extent to which you agree or disagree with the following statements:

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).

Presenter 1 _______________________________	SD	D	N	A	SA	NA
The presenter was well-prepared, knowledgeable, and professional.	1	2	3	4	5	NA
The presenter clearly identified and addressed the event objectives.	1	2	3	4	5	NA
The presenter provided the information clearly and logically.	1	2	3	4	5	NA
The presenter responded well to questions and comments.	1	2	3	4	5	NA
The presenter tailored the information to audience needs.	1	2	3	4	5	NA
Presenter 2 ________________________________	SD	D	N	A	SA	NA
The presenter was well-prepared, knowledgeable, and professional.	1	2	3	4	5	NA
The presenter clearly identified and addressed the event objectives.	1	2	3	4	5	NA
The presenter presented the information clearly and logically.	1	2	3	4	5	NA
The presenter responded well to questions and comments.	1	2	3	4	5	NA
The presenter tailored the information to audience needs.	1	2	3	4	5	NA
Technical Assistance Event	SD	D	N	A	SA	NA
The event was held in a good learning environment	1	2	3	4	5	NA
The time allotted was appropriate for adequately meeting the event objectives.	1	2	3	4	5	NA
The material was appropriate for my level of experience and knowledge.	1	2	3	4	5	NA
The information presented in this event was relevant to my work.	1	2	3	4	5	NA
The information presented in this event was useful to my work.	1	2	3	4	5	NA
The event has increased my knowledge about this topic.	1	2	3	4	5	NA
The event has increased my practical skills on this topic.	1	2	3	4	5	NA
I will be able to apply what I learned in my work.	1	2	3	4	5	NA
I will share the information I received at the event with my colleagues.	1	2	3	4	5	NA
This event met my needs for information and assistance.	1	2	3	4	5	NA
I am satisfied with the overall quality of this technical assistance event.	1	2	3	4	5	NA

22. What aspects of the event were most helpful and why?

________________________________________________________________________________________________________________________________________________________________________________________________________________

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23. Identify three things you plan to do or change as a result of the assistance received. Please be as specific as you can.

1. ____________________________________________________________________________________________________

____________________________________________________________________________________________________

2. ____________________________________________________________________________________________________

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3. ________________________________________________________________________________________________________________________________________________________________________________________________________

24. What additional training and technical assistance needs do you foresee having with regard to the topic covered at this event?

________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________

25. What suggestions do you have for making this assistance better for future participants?

________________________________________________________________________________________________________

________________________________________________________________________________________________________________________________________________________________________________________________________________

26. Additional comments:

________________________________________________________________________________________________________

________________________________________________________________________________________________________

Respondent Information

27. Which of the following best describes the field in which you work? (Please choose only one.)

• Ancillary youth services (e.g., recreation, prevention, mentoring, after-school)

• Child and family services (e.g., child welfare, adoption)

• Community-based organization

• Compliance monitors

• Corrections

• Detention

• Court services

• DMC coordinator

• Education/schools

• Faith-based organization

• Information technology

• Juvenile justice specialist

• Law enforcement

• Legal services–defense

• Legal services–prosecution

• Mental health

• Other advocacy (e.g., GAL, CASA)

• Other residential services

• Parole/community corrections

• Private sector/business

• Probation

• Problem solving/specialized courts (e.g., drug courts)

• Research

• SAG representative

• Substance abuse

• Truant youth/dropout

• Youth mentoring

28. How many years of experience do you have in the field of juvenile justice?

• 0 – 2 years

• 3 – 5 years

• 6 – 8 years

• 9 – 11 years

• 12 – 14 years

• 15 or more years

29. How would you describe the population with which you primarily work? (Check all that apply.)

• At-risk youth

• Children of incarcerated parents

• Dependent youth

• Incarcerated youth

• Homeless youth

• Mentally ill youth

• Pre-adjudicated youth (e.g., youth awaiting a judicial outcome)

• Post-adjudicated youth (e.g., youth on parole, probation, or under community supervision)

• Substance using or abusing youth

• Teen parents

• Youth younger than 10 years of age

• Youth ages 11–15 years

• Youth ages 16–the legal age of adulthood in your community

• Youth in the child welfare system (e.g., foster youth, adopted youth, abused/neglected youth)

• Youth volunteers

• Other: ______________