WHIAAPI Summit Evaluation

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

WHIAAPIQuestionsforSummitEvaluation

WHIAAPI Summit Evaluation

OMB: 1880-0542

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Questions for Summit Evaluation


Questions at the Summit

  1. How would you rate your overall experience with the Summit?

Not at all fulfilling 1 2 3 4 5 Very Fulfilling



2. How likely are you to apply what you learned at the Summit to your daily work?

Not at all likely 1 2 3 4 5 Highly Likely


3. Do you have a better understanding of the resources available to the AAPI community

through your participation in this Summit?

Yes No



4. How likely will you share what you’ve learned from this event with your community?

Not at all likely 1 2 3 4 5 Highly Likely




Post-Summit Free Response Questions (250 words max)


1. What did you take away from your experience?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________

2. What did you think went particularly well during the Summit, and how might your overall experience with the Summit have been improved?

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________


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

____________________________________________________________________________________________________________________________________________________________________________________________________________________________________


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 4 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
AuthorVohra, Akil
File Modified0000-00-00
File Created2021-01-27

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