Form 1 ORO Dallas Virtual Participant Satisfaction Survey

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

ORO Dallas Virtual Participant Satisfaction Survey-1

ORO-Dallas Virtual Participant Satisfaction Survey

OMB: 0915-0212

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ORO Dallas Virtual Participant Satisfaction Survey



Instructions: Please complete the following questions to reflect your opinions as accurately as possible. The purpose of this survey is to identify strengths and weaknesses of the ORO-Dallas sponsored webinars and TA workshops, determine the level of participants’ satisfaction, and identify areas for improvement.

 Top of Form

* 1. How would you rate the overall quality of the Symposium?

Shape1 Outstanding

Shape2 Above Average

Shape3 Average

Shape4 Below Average

Shape5 Poor

* 2. The speakers were knowledgeable in the content areas.

Shape6 Agree

Shape7 Somewhat Agree

Shape8 Somewhat Disagree

Shape9 Disagree

* 3. The objectives were met.

Shape10 Agree

Shape11 Somewhat Agree

Shape12 Somewhat Disagree

Shape13 Disagree

* 4. The presentations and information shared were relevant to my work.

Shape14 Agree

Shape15 Somewhat Agree

Shape16 Somewhat Disagree

Shape17 Disagree

* Additional feedback on previous questions or other remarks:

Your feedback is valued. Thank you very much for taking time to complete this evaluation.Shape18 Bottom of Form



Public Burden Statement: 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 OMB control number. The OMB control number for this project is 0915-0212. Public reporting burden for this collection of information is estimated to average .01 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N-39, Rockville, Maryland, 20857

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorDepartment of Health and Human Services
File Modified0000-00-00
File Created2021-01-25

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