National Outreach Program Initiative (NOPI) Master Survey

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

LL Educational Workshop draft, NA Form 2026 03 (01-16)

National Outreach Program Initiative (NOPI) Master Survey

OMB: 3095-0070

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Workshop Title:________________________________

T

Instructions: Tell us about your experience today by circling your choices. This valuable information will improve future public outreach programs. Please turn in your completed survey to the designated area or to a staff member. We appreciate your feedback. Thank you for helping us serve you better.

he Center for Legislative Archives Date: ____________________





Overall, I am satisfied with my education program experience today (141).*

Strongly Agree

Agree

Disagree

Strongly Disagree

Is this your first time participating in a Center for Legislative Archives’ workshop (142)?

Yes

No

I learned something that I can apply to my work (149).

Yes

No

I gained new knowledge and/or skills.

Yes

No

The material provided effectively aligns with current education standards.

Yes

No

The audiovisual materials were effective, clear, and appropriate.

Yes

No

The audiovisual technologies were fully functioning (144).

Yes

No

Overall, the presenter was effective.

Strongly Agree

Agree

Disagree

Strongly Disagree

The program meets my professional needs (150).

Yes

No

Will you recommend this program to other educators (147)?

Yes

No

The facilities were clean and well maintained (143).

Yes

No

Additional Comment(s): (Please feel free to write on the back of this sheet.)

Sex (145):

Female

Male

*Numbers are for internal purposes only*

PAPERWORK REDUCTION ACT PUBLIC BURDEN STATEMENT: You are not required to provide the information requested on a form that is subject to the Paperwork Reduction Act unless the form displays a valid OMB control number. Public burden reporting for this collection of information is estimated to be less than 5 minutes per response. Send comments regarding the burden estimate or any other aspect of the collection of information, including suggestions for reducing this burden, to National Archives and Records Administration (ISSD), 8601 Adelphi Rd, College Park, MD 20740-6001. DO NOT SEND COMPLETED FORMS TO THIS ADDRESS.

OMB Control No. 3095-0070 Expiration date 10/31/2017 NA Form 2026 03 (01-16)


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