Form 1 Grantee Workshop Survey Instrument

OMB Control No: 0970-0401

Expiration date: 05/31/2018

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)

Public reporting burden for this collection of information is estimated to average .25 hour (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.

Assets for Independence Grantee Workshop

Evaluation – Sept. 27, 2016

What was your primary objective in attending the AFI workshop?
Do you believe that your objective was met? If not, please let us know what was missing.
If you could choose two topics for a future AFI workshop, what would they be? 1. 2.
Specific to today’s workshop, please rate your satisfaction on the following on a scale of 1 (low) to 5 (high).
General	Length of the workshop	1	2	3	4	5	Comments:
	Use of time at the workshop	1	2	3	4	5	Comments:

Specific to today’s workshop, please rate your satisfaction on the following on a scale of 1 (low) to 5 (high).
Workshop Agenda Items	Welcome and Introduction	1	2	3	4	5	Comments:
	Success story portion	1	2	3	4	5	Comments:
	Project design exercise	1	2	3	4	5	Comments:
	PPR overview	1	2	3	4	5	Comments:
	Common Challenges	1	2	3	4	5	Comments:
	Wrap up and next steps	1	2	3	4	5	Comments: