OJJDP NTTAC Training participant feedback form

OMB # 1121-0277

Date of Expiration: 9/30/2010

OJJDP National Training and Technical Assistance Center

Training Feedback Form

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

TRAINING TITLE: pre-printed information

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

INSTRUCTOR(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).

1. Learning Objectives

<insert Training Module Title 1 as preprinted information>	SD	D	N	A	SA
I understand/can identify <insert learning objective content here>	1	2	3	4	5
I understand/can identify <insert learning objective content here>	1	2	3	4	5
I understand/can identify <insert learning objective content here>	1	2	3	4	5
I understand/can identify <insert learning objective content here>	1	2	3	4	5
<insert Training Module Title 2 as preprinted information> (continue with additional Training Modules as appropriate for the curriculum)	SD	D	N	A	SA
I understand/can identify <insert learning objective content here>	1	2	3	4	5
I understand/can identify <insert learning objective content here>	1	2	3	4	5
I understand/can identify <insert learning objective content here>	1	2	3	4	5
I understand/can identify <insert learning objective content here>	1	2	3	4	5

2. Instructors

Instructor 1 _____________________________________	SD	D	N	A	SA
The instructor was well prepared and had a professional manner.	1	2	3	4	5
10. The instructor was knowledgeable about the topic.	1	2	3	4	5
The instructor encouraged discussion.	1	2	3	4	5
The instructor responded well to questions and comments, including challenging questions and differing opinions.	1	2	3	4	5
The instructor understood the professional needs of the audience.	1	2	3	4	5
The instructor conveyed an appreciation of the diversity of experience, knowledge, and skills in the room.	1	2	3	4	5
The instructor presented the material and asked questions in such a way as to help the audience appreciate the importance of cultural diversity.	1	2	3	4	5
Instructor 2 _____________________________________	SD	D	N	A	SA
The instructor was well prepared and had a professional manner.	1	2	3	4	5
The instructor was knowledgeable about the topic.	1	2	3	4	5
The instructor encouraged discussion.	1	2	3	4	5
The instructor responded well to questions and comments, including challenging questions and differing opinions.	1	2	3	4	5
The instructor understood the professional needs of the audience.	1	2	3	4	5
The instructor conveyed an appreciation of the diversity of experience, knowledge, and skills in the room.	1	2	3	4	5
The instructor presented the material and asked questions in such a way as to help the audience appreciate the importance of cultural diversity.	1	2	3	4	5

3. Training

	SD	D	N	A	SA
I was satisfied with the overall quality of the training materials (handouts, audiovisuals).	1	2	3	4	5
The meeting space provided a good learning environment.	1	2	3	4	5
The time allotted was adequate for the scope of material presented.	1	2	3	4	5
The training modules contained the right amount of theoretical information.	1	2	3	4	5
The training modules contained the right amount of practical information.	1	2	3	4	5
The materials and information were appropriate for my level of experience and knowledge.	1	2	3	4	5
The information I learned will help me in my work.	1	2	3	4	5
This training developed my leadership skills.	1	2	3	4	5
This training met my needs for information/assistance.	1	2	3	4	5
I will share the information with my colleagues.	1	2	3	4	5
I am satisfied with the overall quality of this training event.	1	2	3	4	5

32. Was the length of the training appropriate for the material or would you recommend a shorter/longer training? Please provide any specific details you would like to share.

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33. Was the format of the participant materials (text, PowerPoint slides, resources) helpful to you? Do you have any recommendations for making the materials more user-friendly?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

34. Was it helpful to have hands-on opportunities such as <insert title of activity> to reinforce learning? Would you recommend <insert activity> for future trainings?

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35. Were the exercises on <insert title of each exercise> and <insert title of each exercise> helpful? Do you have any comments about how these activities could be improved?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

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

37. What additional training/technical assistance needs do you foresee having with any of the topics covered at this training?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

38. What part of this event would you suggest changing to make it better for future participants?

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

39. Additional comments:

________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

4. Participant Information

40. 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

41. 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

42. 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: ______________

We will be following up with participants in approximately 3 months to determine the impact of this training event. If you would be willing to participate in a brief follow-up interview, please provide your contact information. The information will only be used for the purpose of conducting the follow-up interview. The confidentiality of the information you provide is guaranteed.

Name: _________________________________ Phone: __________________ E-mail: ______________________

Thank you for completing the <insert training title> Participant Feedback Form.

We value your input!

Please return your completed form to an OJJDP NTTAC representative before leaving the training.