Community Resource Day - Presenter Form

Form Approved
OMB No. 3225-0002
Exp. Date: 02/28/2017
Form: PRA-ID-2

COMMUNITY RESOURCE DAY
PROGRAM PRESENTER FEEDBACK SURVEY
TODAY’S DATE: ______________________

Please complete this form before you leave today. Your responses will help us improve future Community
Resource Day programs. Your participation is voluntary. Refusing to complete this survey will not result in
any penalties. Your responses are important, encouraged, and will be treated as confidential. Your responses
will only be disclosed as permitted under the Privacy Act (5 U.S.C. 552a).
Once you have completed your survey, please place the form face down in the designated survey reply box,
located adjacent to the conference room exit door. Thank you.
1. In general, how would you rate today’s program?
□ Excellent

□ Good

□ Fair

□ Poor

2. What suggestions do you have for improving future Community Resource Day programs?
_____________________________________________________________________________________
_____________________________________________________________________________________
3. Did we provide you with the necessary tools for your presentation?

□

Yes

□

No

- If answered “NO”, please explain: _________________________________________________
_____________________________________________________________________________________
4. Are there any other topics you suggest be included in future Community Resource Day Programs?
□

Yes

□

No

- If answered “YES”, please explain: _________________________________________________
_____________________________________________________________________________________
5. How would you rate the effectiveness of Community Resource Day in helping your organization connect
with returning citizens upon release?
□ Very Effective

□ Effective

□ Somewhat Effective

□ Not Effective

□ Don’t Know

Please explain: __________________________________________________________________
______________________________________________________________________________
Public reporting burden for this collection of information is estimated to be 5 minutes, including the time for reviewing instructions,
searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of
information. Send comments regarding this burden estimate or another aspect of this collection of information, including suggestions
for reducing this burden to:
Court Services and Offender Supervision Agency | Office of Research and Evaluation | 601 Indiana Ave. NW, Suite 512 |
Washington, DC 20004
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a
currently valid Office of Management and Budget (OMB) control number.