Form 1 Regional and State Strategic Partnership Forum Form

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

Regional and State Strategic Partnership Forum Form

ORO Dallas State Strategic Partnership Forum

OMB: 0915-0212

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October 4, 2016

State Strategic Partnership Forums for Arkansas,

Louisiana, New Mexico and Oklahoma

HRSA/ORO-Dallas values your opinion, and your feedback provides one of the best ways to improve our meetings.  Please return the form to your ORO-Dallas state lead.  Thank you for your feedback!

Regional Forum

Strongly

Agree

Somewhat Agree

Neutral

Somewhat Disagree

Strongly

Disagree

  1.  I learned a high degree of new information during the session.






  1. Topics covered were relevant, interesting and timely.






  1. The presenters were knowledgeable in the content areas.






  1. Overall, the session met my expectations.






Comments/Suggestions:






State Forum

Strongly

Agree

Somewhat Agree

Neutral

Somewhat Disagree

Strongly

Disagree

  1. I learned a high degree of new information during the session.






  1. Topics covered were relevant, interesting and timely.






  1. The presenter(s) were knowledgeable in the content area.






  1. Overall, the session met my expectations.






Comments/Suggestions:






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