O MB # 1121-0277
Date of Expiration: xx/xx/xx
OJJDP National Training and Technical Assistance Center
Requester Feedback Form
In planning for a training/technical assistance event, the Office of Juvenile Justice and Delinquency Prevention National Training and Technical Assistance Center (OJJDP NTTAC) assesses the needs of the requester and creates a training/technical assistance (TTA) plan to meet those needs in the most efficient and effective manner. Your feedback is vital in our ongoing efforts to improve the support that OJJDP NTTAC provides. Therefore, we would like to know about your experiences with the TTA delivery and consultant provided, and your overall impressions of the support you received.
In the Planning Assessment section, please assess all the tasks and processes that went into planning this event. In the Training/Technical Assistance On-Site and Post-Delivery Assessment section, please assess the actual delivery of the assistance received. NOTE: Please complete one form per event. In the final section, please assess the overall TTA provided for the event.
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control number. We try to create accurate and easily understood forms that impose the least possible burden. The estimated average time to complete this form is 10 minutes. If you have comments regarding the accuracy of this estimate, or suggestions for making this form simpler, please write to the Office of Juvenile Justice and Delinquency Prevention, National Training and Technical Assistance Center, Needs Assessment and Evaluation Division, 9300 Lee Highway, Fairfax, VA 22031.
CONSULTANT: pre-printed information
REQUESTER: (name of individual) pre-printed information
(name of organization ) pre-printed information
OJJDP NTTAC COORDINATOR: pre-printed information
ACTIVITY DESCRIPTION: pre-printed information
TRAINING/TECHNICAL ASSISTANCE EXPECTED OUTCOMES: pre-printed information
PLANNING ASSESSMENT
For Questions 17, please indicate the extent to which you agree or disagree with the statements about the planning of the training/technical assistance event.
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).
PLANNING |
SD |
D |
N |
A |
SA |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
Did the level of communication (e.g., via telephone calls, email) with OJJDP NTTAC and/or the consultant meet your needs in preparing for this event?
What could OJJDP NTTAC have done differently to help you plan better for the event?
What obstacles or challenges, if any, did you encounter during the planning phase and how could this be corrected in the future to better meet your needs?
What other comments or suggestions do you have about the planning phase?
For Questions 1227, please indicate the extent to which you agree or disagree with the statements about the delivery of the training/technical assistance, using the same scale.
ON-SITE AND POST-DELIVERY |
SD |
D |
N |
A |
SA |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
|
|
|
|
|
|
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
|
1 |
2 |
3 |
4 |
5 |
NA |
28. Please indicate the actual number of attendees at the event: _________
29. Based on conversations with the OJJDP NTTAC Coordinator prior to the event, did the consultant provide services as you expected/needed? Is there anything else the consultant could have done to better meet the needs of participants? Please explain.
30. On a scale of 1 to 5, with 1 representing “unsuccessful” and 5 representing “successful” how successful was the consultant in achieving the expected outcomes for the training/technical assistance?
1 2 3 4 5
unsuccessful successful
Please give a reason for your rating, using examples where possible.
31. Would you request the services of this consultant again? Yes No
Please explain.
32. What obstacles or challenges, if any, did you encounter during the delivery of the training/technical assistance? Do you have any suggestions for improving delivery of future events?
33. What other comments or suggestions do you have about the delivery phase?
34. On a scale of 1 to 5, with 1 representing “far below my expectations” and 5 representing “exceeded my expectations,” how well did this training/technical assistance event meet your expectations?
1 2 3 4 5
far below exceeded my
my expectations expectations
Please give a reason for your rating, using examples where possible.
35. Now that the training/technical assistance event has concluded, what, if any, additional needs does your organization have regarding this topic?
36. On a scale of 1 to 5, with 1 representing “highly unlikely” and 5 representing “highly likely,” how likely are you to recommend OJJDP NTTAC to others with training/technical assistance needs?
1 2 3 4 5
Highly unlikely Highly likely
Why or why not?
37. What other comments do you have about the event overall?
Thank you for completing this OJJDP NTTAC Requester Feedback Form. We value your input!
Please fax completed forms to: 703-934-3740 or mail to:
OJJDP National Training and Technical Assistance Center
ATTN: Christine Leicht
Needs Assessment and Evaluation Division
9300 Lee Highway, Fairfax, VA 22031
File Type | application/msword |
File Title | OVC TTAC - USER FEEDBACK FORM |
Author | goellen |
Last Modified By | 15067 |
File Modified | 2011-06-17 |
File Created | 2011-06-17 |