Feedback from participants at the Enhancing the Cultural Responsiveness of Social Services Webinars 3&4

Instruments for Webinars 3 & 4

REGISTRATION FORM

Please answer the following:

First Name: ______________ Last Name: ______________

Degree(s) (e.g., B.A., M.S., Ph.D., etc.): _______________

What is your current professional role? (You may select up to 2 roles.)

 Federal agency employee based in DC	 State or territory administrator	 Local service organization  Foundation staff  Other (specify) _____________________
 Federal agency employee based in a region	 State or territory agency staff member
 Researcher	 Local administrator/staff
 Training or technical assistance provider	 National policy organization staff

If there are populations or cultural groups that you are particularly concerned about serving responsively, what or where are they?

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What specific topics, issues, or questions do you want to see addressed in future events or resources?

______________________________________________________________________________

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What made you decide to register for this event? (Select all that apply.)

 Cultural responsiveness is a priority at my office/organization.

 I am personally interested in learning more about cultural responsiveness.

 A colleague or supervisor encouraged me to participate.

 My office/organization has difficulty serving members of minority populations.

 Other reason (please describe): ______________________________________________________________________________

Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to collect participant feedback. Public reporting burden for this registration form is estimated to average 5 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. Public reporting burden for two polls is estimated to average 5 minutes per response for each poll. 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 number and expiration date for this collection are OMB #: 0970-0401, Exp: 05/31/2018. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to XX.

WEBINAR POLL QUESTIONS

Webinar 3 - Organizational Support

1. How often does your organization/office work or partner with a service provider that specializes in serving members of minority populations?

 1 (never)      2 (occasionally)        3 (regularly)             4 (often)       5 (constantly)

2. How culturally responsive do you feel that your organization/office is?

 1 (not at all)      2 (slightly)      3 (somewhat)        4 (moderately)  5 (extremely)

3. How well-equipped do you feel your office is to serve members of minority populations?

 1 (not at all)      2 (slightly)      3 (somewhat)        4 (moderately)  5 (extremely)

4. Have you ever received/attended cultural diversity training?

 Yes     No      

5. Does your organization/office offer its employees/staff cultural diversity training?

 Yes     No      

6. Does your organization/office offer you opportunities to learn more about cultural minority populations?

 Yes     No      

7. Do you feel that your organization/office has invested resources into ensuring services to members of minority populations are culturally responsive?

 Yes     No      

Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to collect participant feedback. Public reporting burden for this registration form is estimated to average 3 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. Public reporting burden for two polls is estimated to average 5 minutes per response for each poll. 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 number and expiration date for this collection are OMB #: 0970-0401, Exp: 05/31/2018. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to XX.

Webinar 4 - Skills Development

1. Considering your program area, how important do you think it is to build trust and effective communication with individuals or families?

 1 (not at all)      2 (slightly)      3 (somewhat)        4 (moderately)  5 (extremely)

2. Are communication skills prioritized among your program area staff?

 Yes     No      

3. Have you ever received training or support focused on relationship-building or communications for the work environment?

 Yes     No      

4. Considering your program area, do you think there is a need for more culturally-specific services?

 Yes     No      

5. If YES, which programming or service area are you working in?

______________________________________________________________________

6. If YES, which population/ group(s) do you think need a more culturally-specific approach?

_______________________________________________________________________

Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to collect participant feedback. Public reporting burden for this registration form is estimated to average 3 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. Public reporting burden for two polls is estimated to average 5 minutes per response for each poll. 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 number and expiration date for this collection are OMB #: 0970-0401, Exp: 05/31/2018. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to XX.

POST-EVENT FEEDBACK FORM

1. What is your current professional role? (You may select up to 2 roles.)

 Federal agency employee based in DC	 State or territory administrator	 Local service organization  Foundation staff  Other (specify) _____________________
 Federal agency employee based in a region	 State or territory agency staff member
 Researcher	 Local administrator/staff
 Training or technical assistance provider	 National policy organization staff

2. In 1-2 sentences, how would you define ‘cultural responsiveness’?

______________________________________________________________________________

______________________________________________________________________________

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3. Please rate these statements using the following scale: 1=Poor, 2=Fair, 3=Good and 4=Excellent.

My overall impression of the meeting was: …

The information discussed and provided was: …

The presenters and moderators were: …

After attending, my understanding of the topic matter is: …

The logistics and accessibility of the meeting were: …

4. Were the presentations relevant to your work?

 Yes     No      

If no, could you please explain? ______________________________________________________________________________

______________________________________________________________________________

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5. Was this webinar useful for deepening your understanding of cultural responsiveness?

 Yes     No      

6. Will anything in your work change as a result of this webinar?

 Yes     No      

If YES, could you please explain?

______________________________________________________________________________

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7. What topics or issues would you like to see addressed in future events?

______________________________________________________________________________

______________________________________________________________________________

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8. Are there specific populations or cultural groups that you want to learn more about?

______________________________________________________________________________

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9. Which part of the content did you find most useful? Why?

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10. What can we improve for next time in terms of meeting content (e.g., topics, sessions, presenters)? All suggestions would be appreciated.

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11. What can we improve for next time in terms of meeting format? Please explain.

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12. Are there any ACF initiatives that you think exemplify cultural responsiveness that future series or resources should highlight?

______________________________________________________________________________

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13. Do you have anything else that you would like to share?

______________________________________________________________________________

______________________________________________________________________________

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Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to collect participant feedback. Public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. 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 number and expiration date for this collection are OMB #: 0970-0401, Exp: 05/31/2018. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to XX.