Focus Group Participant Feedback Survey for HHS Region II Pilot Curriculum

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

0990-0379Final Focus Group Participant Feedback Form (2)

Focus Group Participant Feedback Survey for HHS Region II Pilot Curriculum

OMB: 0990-0379

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Form Approved OMB 0990-0379

Exp.Date 08/31/2017




Focus Group Participant Feedback Form for the Pilot Course

"S-Stop, O-Observe, A-Ask, and R-Respond: Building Capacity, Collaboration, and Coordination of Services for Survivors of Human Trafficking"


Please reply to the questions below.

1

In which field do you work?


Social Services

Health Care

Law Enforcement

Legal

Education

Other Please specify:

_________________________________


2 Please select the sector that you represent


Federal Government Agency

State or Territorial Government Agency

University

Community-Based Organization

Faith-Based Organization

Other Please specify:

_______________________________


3

 Have you previously attended an educational course on human trafficking awareness and response?


  ⃝ No

Yes

If Yes, Please specify course name and sponsor:____________________________________________________

4

Which parts of the course were most valuable? (please write your response below)




5

What could be done to improve the course? (please write your response below)






Please read the statement below and select a rating on the right. You may add a comment. Comments are optional.



Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Comments

 

5

4

3

2

1

 

6

The course supports Goal #1 of the Federal Strategic Action Plan: Promote a strategic, coordinated approach to the provision of services for victims of human trafficking at the federal, regional, state, territorial, and local level.








7

The course increased my awareness of human trafficking as a federal crime.

 

 

 

 

 

 

8

The course increased my knowledge of the differences and commonalities between sex trafficking and labor trafficking.

 

 

 

 

 

 

9

The course described specific barriers to identifying victims of human trafficking.

 

 

 

 

 

 

10

The course identified vulnerable populations at risk for human trafficking.

 

 

 

 

 

 

11

The course described key principles of a trauma-informed approach to services for trafficked persons.

 

 

 

 

 

 

12

The course described how to provide culturally-sensitive services using the CLAS-Culturally and Linguistically Appropriate Service standards.

 

 

 

 

 

 

13

The course provided examples of promising practices for survivor-centered services.








Strongly Agree

Agree

Neutral

Disagree

Strongly Disagree

Comments


5

4

3

2

1

 

14

The course increased my knowledge of the service needs of human trafficking survivors.


 

 

 

 

 

 

15

The course identified state, territorial, and local hotlines and organizations to assist with referrals to services for victims of human trafficking.

 

 

 

 

 

 

16

The instructor conducted the course in a professional manner.

 

 

 

 

 

 

17

The instructor’s responses to questions were clear and understandable.







18

The learning aids (e.g., PowerPoint slides, videos, case study materials) helped me to learn.







19

The learning activities encouraged my participation.







20

The course length was sufficient to deliver the content.









THANK-YOU



According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 2 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer.


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File TitleExp.Date 08/31/2017
AuthorDHHS
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