ASDM Meeting Evaluation

[LOGO and conference theme to be inserted]

Please indicate your current professional role:

__ State Director

__ State Staff (Please circle your primary responsibilities: data fiscal administrative program)

__ Researcher

__ Contractor

__ Professional Development/Trainer

__ Teacher

__ Local Program Staff

Please rate the following elements, using a 1 to 5 scale where a rating of “1” means “strongly disagree” and “5” means “strongly agree.” N/A means “not applicable.”
Overall quality of the [session]. Comments?	1 2 3 4 5 N/A
Organization of the [session] content. Comments?	1 2 3 4 5 N/A
Scope and depth of [session] content. Comments?	1 2 3 4 5 N/A
Applicability of [event] content. Comments?	1 2 3 4 5 N/A
Facilitator effectiveness in responding to questions. Comments?	1 2 3 4 5 N/A

Feedback on [session]

1. Which aspects of [session] were most useful?

2. What are your suggestions for improving this [session]?

Overall Meeting Evaluation

Please rate the following elements, using a 1 to 5 scale where a rating of “1” means “strongly disagree” and “5” means “strongly agree.” N/A means “not applicable.”
Quality of [event] agenda, handouts, and other [event] materials. Comments?	1 2 3 4 5 N/A
Ease of locating sessions and meeting rooms. Comments?	1 2 3 4 5 N/A
Quality of meeting space and accommodations. Comments?	1 2 3 4 5 N/A
Friendliness of [event] staff. Comments?	1 2 3 4 5 N/A
Knowledge of [event] staff. Comments?	1 2 3 4 5 N/A
Pre-meeting logistics, registration and communication. Comments?	1 2 3 4 5 N/A

Public Burden Statement:

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. Public reporting burden for this collection of information is estimated to average 5 minutes per response, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. The obligation to respond to this collection is voluntary. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to the U.S. Department of Education, 400 Maryland Ave., SW, Washington, DC 20210-4537 or email [email protected] and reference the OMB Control Number 1880-0542. Note: Please do not return the completed ASDM meeting survey to this address.