OMB # 1121-0277
Date of Expiration: xx/xx/xx
O JJDP National Training and Technical Assistance Center
Consultant Feedback Form
In planning for a training/technical assistance event, the Office of Juvenile Justice and Delinquency Prevention (OJJDP) National Training and Technical Assistance Center (NTTAC) assesses the needs of the requester and recommends consultants to meet those needs in the most efficient and effective manner. To ensure OJJDP NTTAC provides the highest quality assistance to the field, we need your feedback. Your responses on this form will be carefully considered and factored into the overall program evaluation of OJJDP NTTAC. Your participation is completely voluntary.
In the Planning Assessment section of this form, 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 session.
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(S): 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 |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
Did you have enough information to develop a training/technical assistance plan to meet the needs of the audience? Yes No
8a. What information was helpful in preparing the plan?
8b. What information was missing (e.g., information that would have been helpful before the conference call)?
Did the level of communication (e.g., via telephone calls, e-mail) with OJJDP NTTAC and/or the requester meet your needs in preparing for this event?
What obstacles or challenges, if any, did you encounter during the planning phase?
What could OJJDP NTTAC do to improve the planning process?
For Questions 1222, please indicate the extent to which you agree or disagree with the statements about delivery of this event, 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 |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
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1 |
2 |
3 |
4 |
5 |
NA |
On a scale of 1 to 5, with 1 representing “unsuccessful” and 5 representing “successful,” how successful were you in achieving the expected outcomes of this event?
1 2 3 4 5
unsuccessful successful
Please give a reason for your rating, using examples where possible.
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?
What additional training/technical assistance do you foresee this group will need with regard to this topic?
Are you aware of resources that would be useful to participants with regard to this topic that could be posted online via the OJJDP NTTAC Web site? Yes No
If yes, please indicate the resources available and where NTTAC can obtain them
Do you have any other comments or suggestions?
Thank you for completing this NTTAC Consultant 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
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 |