Form 1 Advisory Committee Feedback

n ational Advisory OMB#: ####-####

Committee Feedback Date of Expiration: ##/##/####

Protocol

In order to help NHTTAC better serve the National Advisory Committee (NAC), we are reaching out to obtain your feedback. We will protect the privacy of your information in accordance with the Federal Privacy Act, and we will protect the confidentiality of your responses using procedures we have in place, including reporting all information in aggregate to avoid identifying information. Only members of the NHTTAC Evaluation Team have access to information that could identify respondents. If you have any questions about this survey or the evaluation, please contact [email protected].

Please provide the information below to create an anonymous ID:

______                   ______                       ______ 

Birth Month                          First letter of first name          First letter of your middle name

(insert just the month             (example: S for Sara)              (example: M for Maria)

for your date of birth,
example: 08 for August)

1. In the past 12 months, how many NAC meetings have you participated in?

________________________

2. Please rate the quality of the NAC meeting(s) that you have attended.

1	2	3	4
Poor	Fair	Good	Excellent

3. Please rate the quality of the NAC webinar(s) that you have attended.

1	2	3	4
Poor	Fair	Good	Excellent

Please indicate how well the NAC has achieved the following objectives.

Overall Objectives	Poor	Fair	Good	Excellent
[Insert objective 1].	1	2	3	4
[Insert objective 2].	1	2	3	4
[Insert objective 3].	1	2	3	4
[Insert objective 4].	1	2	3	4
[Insert objective 5].	1	2	3	4

9. As a result of my involvement in the NAC, I made meaningful connections with other professionals in the field of human trafficking identification, prevention, and service provision.

1	2	3	4
Strongly Disagree	Disagree	Agree	Strongly Agree

10. How would you describe the level of collaboration among NAC members?

1	2	3	4
Very weak	Weak	Strong	Very strong

11. How often would you like to meet in person with NAC members? _____________________

12. How would human trafficking service provision be impacted if the NAC did not exist?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

13. Looking ahead, what additional activities can the NAC undertake to further collaboration and information sharing that would be useful to members?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

Please indicate the extent to which you agree or disagree with the following statements about NHTTAC’s contribution to the NAC:

		Strongly Disagree		Disagree		Agree		Strongly Agree		Not Applicable
NHTTAC has been helpful in orienting new members to the NAC.	1		2		3		4		NA
There has been good communication between NHTTAC and the NAC.	1		2		3		4		NA
The information NHTTAC has shared with the public reflects a public health approach to addressing human trafficking.	1		2		3		4		NA
NHTTAC has been supportive in meeting planning.	1		2		3		4		NA
NHTTAC has been helpful through their onsite meeting support.	1		2		3		4		NA

19. Based on your interactions with NHTTAC on the NAC, would you recommend NHTTAC to others to receive T/TA?

□ Yes □ No

20. What do you think are the most important activities that the NAC should prioritize?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

21. Please provide any comments or suggestions on how the NAC can be improved.

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

22. Is your agency responsible for working with people who are currently being trafficked or have been trafficked?

□ Yes □ No

23. In your professional capacity, how frequently do you come into contact with a person who is currently being trafficked, at risk of trafficking, or has been trafficked?

1	2	3	4
Never	Occasionally	Frequently	All the Time

Thank you for taking the time to complete this form and helping to improve NHTTAC activities.

Paperwork Reduction Act Notice

Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control number. The estimated average time to complete this form is 5 minutes. If you have comments regarding the accuracy of this estimate or additional suggestions, please write to the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.