Womens' Bureay Event Evaluation Form

OMB Control Number 1225-0088
Expires 08/31/2017

Women’s Bureau
Event Evaluation Form
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reference the OMB Control Number 1225-0088. Note: Please do not return the completed survey to this address.

We would greatly appreciate your feedback regarding today’s event. Your comments will help
us to develop future events and to continue meeting the needs of working women. Thank you in
advance for your time!
1. I gained useful and relevant information from the presentations, discussion, and/or materials
distributed at the event.
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

2. The event provided sufficient opportunity for discussion and/or questions and answers.
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

3. Overall, the event met my needs and expectations.
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Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree

OMB Control Number 1225-0088
Expires 08/31/2017

4. Please indicate how satisfied you were with the following features of the event:
Very
Satisfied

Satisfied Neither
Satisfied nor
Dissatisfied

Dissatisfied Very
Dissatisfied

Quality of speakers
Quality of discussion/dialogue
Quality of event materials
Quality of facilitator(s)
Quality of event
administration/organization
Interaction with event
organizers and staff
5. As a result of my participation in today’s event, I plan to (check all that apply):
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Explore options for implementing a program, benefit, or policy for workers
Conduct outreach activities to educate others about issues affecting working women
Share Women's Bureau's publications or materials with others in my organization or
community
(Please indicate which materials you will circulate and the name of your network/
publication.) _______________________________________________________
Contact the Women’s Bureau regarding collaborating on future activities or events
Use the information to write reports or grants
Use the information to make policy decisions
Use the information to further my own career or take specific actions to improve
my earnings or benefits
Other (Please specify.) __________________________________________________

6. How has the Women’s Bureau added value to you and/or your organization through this
event (check all that apply)?
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Presented new, diverse, and/or unique perspectives on issues that are important to
me and my organization/community
Shared effective policies and promising practices
Convened key stakeholders, advocacy organizations, and experts
Enabled me to engage with new organizations and individuals and build my network
Provided a welcoming, accessible, and inclusive forum for learning and dialogue
The Women’s Bureau did not add value through this event.
Other (Please specify.) __________________________________________________

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OMB Control Number 1225-0088
Expires 08/31/2017

7. What type of organization do you represent?
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Association/Professional Organization
Business
Community-based Organization
Educational Institution
Elected Official
Faith-based Organization
Government
Labor Union
Public Policy/Research Organization
Women’s Advocacy Organization
Workers’ Rights Organization
Other (Please specify.) _______________________________________________

8. Please offer any additional comments or suggestions in the space below.

Thank you. Your time and feedback is greatly appreciated and will inform future efforts to
improve customer service at DOL.

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