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ICR 201107-1880-001 · OMB 1880-0542 · Object 46687201.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | N/A |
| Author | Mai Thao |
| Last Modified By | Writer |
| File Modified | 2014-04-10 |
| File Created | 2026-10-03 |
| Conversion State | complete |
Extracted Text
WHIAAPI Overall Evaluation Questions for Roundtables and Summits
Plenary
1. How useful was the information presented?
Not at all 1 2 3 4 5 Very
2. Were your needs, concerns, and questions addressed adequately?
No Yes
3. How engaging was this session?
Not at all 1 2 3 4 5 Very
Breakout Discussions
4. Which discussion did you attend? _____________________________________________________
5. How would you rate the presenter?
Poor 1 2 3 4 5 Very Good
Overall Event
6. How would you rate this overall event?
Poor 1 2 3 4 5 Very Good
7. How would you rate the format of this event?
Poor 1 2 3 4 5 Very Good
8. Would you recommend this session to another person?
Not at all 1 2 3 4 5 Very Much
9. Was the session held at a time that was convenient for you?
No Yes
10. Was the session held at a location that was convenient for you?
No Yes
11. How organized was the session?
Not at all 1 2 3 4 5 Very
12. How did you feel about the length of time for the session?
Too Short 1 2 3 4 5 Too Long
13. What are future topics of discussion you would find meaningful and who else should be included in future events?
____________________________________________________________________________________________________________________________________________________________________________________________________________________________
14. What did you take away from this event?
_____________________________________________________________________________________________________________________________________________________________________________________________________________________
15. How can the event be improved?
____________________________________________________________________________________________________________________________________________________________________________________________________________________________
16. Please provide additional comments, suggestions, and feedback.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________
17. What is your name, email address, and organization affiliation? You are only required to answer this question if you want to subscribe to our newsletters and listservs.
____________________________________________________________________________________________________________________________________________________________________________________________________________________________
PRA 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. The valid OMB control number for this information collection is 1880-0542. Public reporting burden for this collection of information is estimated to average 10 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. If you have comments or concerns regarding the status of your individual submission of this survey, please contact WHIAAPI directly.