Participant Feedback Form for the CCDBG Implementation Research and Evaluation Planning Grantee Community of Practice Meeting

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

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Participant Feedback Form for the CCDBG Implementation Research and Evaluation Planning Grantee Community of Practice Meeting

OMB: 0970-0401

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Community of Practice (CoP) In-Person Meeting

CCDBG Implementation Research and Evaluation Planning Grantees


Friday, March 3, 2017

The Westin Washington, DC City Center


Meeting Evaluation Form


Thank you for attending today’s meeting. Please take a few minutes to provide your feedback on the content and organization of the meeting. Your responses will be used to shape future Community of Practice meetings and will be kept private.


  1. Please circle a number to indicate whether you agree or disagree with each statement.

1=Strongly Disagree 2=Disagree 3=Neither Agree Nor Disagree 4=Agree 5=Strongly Agree

Grantee Presentations and Peer Support (9:15-11:00)

Strongly ------------ Strongly
Disagree Agree

  1. I was interested in the session content.

1 2 3 4 5

  1. The session was relevant to my or my agency’s needs.

1 2 3 4 5

  1. My knowledge or skills have increased as a result of the session.

1 2 3 4 5


The Benefits, Development, Use of a Research Agenda for a CCDF Lead Agency (11:15-12:30)

  1. I was interested in the session content.

1 2 3 4 5

  1. The session was relevant to my or my agency’s needs.

1 2 3 4 5

  1. My knowledge or skills have increased as a result of the session.

1 2 3 4 5


Strategy Session: Building Research and Evaluation Capacity (1:15-2:45)

  1. I was interested in the session content.

1 2 3 4 5

  1. The session was relevant to my or my agency’s needs.

1 2 3 4 5

  1. My knowledge or skills have increased as a result of the session.

1 2 3 4 5


Overall Meeting


  1. As a whole, the meeting was a good use of my time.

1 2 3 4 5

  1. I was comfortable asking questions & contributing to discussion.

1 2 3 4 5

  1. I will be able to apply what I learned in this meeting to my work.

1 2 3 4 5



13. If you disagreed (2) or strongly disagreed (1) with any statements, please explain further.

  1. Presentations led by grantees

More time

About the same

Less time

  1. Presentations led by guest speakers

More time

About the same

Less time

  1. Whole group discussion

More time

About the same

Less time

  1. Small group activities

More time

About the same

Less time

  1. Informal networking and discussion

More time

About the same

Less time


  1. Please circle a response to indicate if you would have preferred to spend more time, about the same amount of time, or less time on each of the following.


19. What aspects of the meeting did you find most useful?


20. What aspects did you find least useful?


21. Do you have any additional comments for the meeting organizers?


Shape1

Thank you for your time!

22. Please indicate your role.

  • Grantee lead agency staff

  • Grantee external research partner


OMB Control #: 0970-0401

Expiration date: 05/31/2018

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAmelia Coffey
File Modified0000-00-00
File Created2021-01-22

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