Project LAUNCH Multi-Site Evaluation Technical Assistance Grantee Satisfaction Form

OMB #0970-0401

Expiration Date: 04/30/2015

Evaluation Technical Assistance (TA) Feedback Form

How many times over the past three months have you sought evaluation technical assistance (TA) concerning Project LAUNCH?

• Have not sought evaluation TA

• Once

• 2-3 times

• 4 times or more

When you have sought evaluation TA, have your concerns focused on [Select all that apply.]:

• Local grantee-specific evaluation

• Multi-site evaluation

• Other: ___________________________________________

What have your evaluation TA requests involved? [Select all that apply.]

• Development of the evaluation plan

• Evaluation design

• Evaluation measures

• Data collection

• Data analysis

• Evaluation reporting

• Other: __________________________________________

How did the evaluation TA team respond to this TA request? [Select all that apply.]

• Email(s)

• Telephone conversation(s)

• Site visit or in-person meeting

• Shared information or resources

  • via project website

  • via an online learning community

  • via webinar

  • via other means: ______________________________

• Connected us with other grantees via webinar, conference call, or other means

• Topic featured at annual grantee meeting

• Received feedback on plans, reports, or other evaluation materials

• Uploaded relevant information (e.g., articles, instruments, etc.)

Have you participated in the regularly scheduled call(s) (e.g., monthly FPO calls)?

• Yes

• No

[IF YES TO PREVIOUS QUESTION] How helpful have you found the evaluation-related discussions on these calls to be?

• Extremely helpful

• Very helpful

• Somewhat helpful

• Not too helpful

• Not helpful at all

Please indicate how strongly you agree with the following statements about the evaluation TA you have received:

Please check select the appropriate agreement box.	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	Not Applicable
1. Our request/s was/were handled in a timely fashion						
2. Was scheduled for dates and times that worked for us						
3. Evaluation staff were friendly and engaging						
4. Evaluation staff were knowledgeable about the topic(s) of the request						
5. Evaluation staff were prepared and organized						
6. We were kept informed of the progress of our request at each step in the process						
7. Addressed our needs						
8. Gave us sufficient guidance to take necessary next steps						
9. Helped improve our capacity to conduct our evaluation activities						
10. Overall, we were satisfied with the evaluation TA we received						

If you were less than completely satisfied with the evaluation TA you received, what could have been done to serve you better?

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If you would like to share any additional comments about your evaluation TA experience, please enter them here:

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