Form B Attachement B - Town Hall Satisfaction Survey

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

Attachement B - Town Hall Satisfaction Survey

Maternal, Infant, and Early Childhood Home Visiting Program Technical Assistance Feedback and Satisfaction Surveys

OMB: 0915-0212

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OMB Control No.: 0915-0212

Expiration Date: 05/31/2018

Federal Home Visiting Program Grantee Town Hall Satisfaction Survey

  1. Overall, how satisfied were you with the town hall meeting?

Very Satisfied

Somewhat Satisfied

Neither Satisfied nor Dissatisfied

Somewhat Dissatisfied

Very Dissatisfied

  1. How relevant were the topics covered to areas of high priority for your program?

Very Relevant

Somewhat Relevant

Neither Relevant nor Irrelevant

Somewhat Irrelevant

Very Irrelevant

  1. How would you rate the amount of information provided during the town hall meeting?

Not enough

Adequate

Too much

  1. How would you rate the level of detail for the topics that were discussed during the town hall meeting?

Not enough

Adequate

Too much

  1. Were there any other topics you wished had been discussed during the town hall meeting? If so, which topics?

No

Yes

Not sure

Comment:

  1. Overall, did you find the question and answer (Q & A) session helpful?

No

Yes

Not sure

  1. How would you rate the amount of time for Q & A?

Not enough

Adequate

Too much

  1. Did you feel comfortable to participate in the Q & A session?

No

Yes

Not sure

Comment:

  1. Did the answers given address your questions?

No

Yes

I did not ask any questions

Comment:

  1. What suggestions would you give to improve the next town hall meeting?

Comment:



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