WHIAAPI Customer Surveys

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Pre and Post Survey FINAL

WHIAAPI Customer Surveys

OMB: 1880-0542

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Pre Survey (Electronic)

  1. What is your understanding of the topic?


No knowledge 1 2 3 4 5 Very knowledgeable

  1. How interested are you in the topic?


Not at all 1 2 3 4 5 Very

  1. What workshop format helps you learn most effectively?



Large group, lecture format

Large group, interactive between presenter and audience members

Small group, lecture format

Small group, interactive between presenter and audience

Small group, interactive discussion among audience members



  1. Which of the following methods allows you to best understand new material?



Personal note-taking

Lots of visual aids

Demonstrations

Worksheets


  1. What is one thing you hope to learn?

__________________________________________________________________________________________________________________


Post Survey (In-Person)


1. What is your understanding of the topic?


No knowledge 1 2 3 4 5 Very knowledgeable

  1. How interested are you in the topic?


Not at all 1 2 3 4 5 Very

  1. How effective was this presentation format?


Not at all 1 2 3 4 5 Very

4. What did you take away from this event? ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

5. How useful was the information presented?

Not at all 1 2 3 4 5 Very

6. Were your needs, concerns, and questions addressed adequately?

No Yes

7. How would you rate the presenter?

Poor 1 2 3 4 5 Very Good

8. How would you rate this event overall?


Poor 1 2 3 4 5 Very Good


10. How was the format of this event?

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________


11. How can the event be improved?

__________________________________________________________________________________________________________________

__________________________________________________________________________________________________________________


12. Please provide additional comments, suggestions, and feedback.

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

13. 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 8 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.



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorU.S. Department of Education
File Modified0000-00-00
File Created2021-01-31

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