C ONFERENCE SESSION OMB#: ####-####
Feedback Date of Expiration: ##/##/####
Protocol
In order to help the National Human Trafficking Training and Technical Assistance Center (NHTTAC) better serve the field, 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].
CONFERENCE: SESSION:
DATE(S): _____________________________________________
PRESENTER(S): ________________________________________________________________________________________
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)
Please rate how well the session met each of its stated objectives.
Overall Objectives |
Poor |
Satisfactory |
Good |
Excellent |
Not Applicable |
|
1 |
2 |
3 |
4 |
NA |
|
1 |
2 |
3 |
4 |
NA |
|
1 |
2 |
3 |
4 |
NA |
|
1 |
2 |
3 |
4 |
NA |
|
1 |
2 |
3 |
4 |
NA |
Please indicate the extent to which you agree or disagree with the following statements.
Presenter/Facilitator 1: ___________________ |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
Not Applicable |
|
|
|||
|
1 |
2 |
3 |
4 |
NA |
|
||||
|
1 |
2 |
3 |
4 |
NA |
|
||||
|
1 |
2 |
3 |
4 |
NA |
|
||||
|
1 |
2 |
3 |
4 |
NA |
|
||||
|
1 |
2 |
3 |
4 |
NA |
|
||||
Presenter/Facilitator 2: ___________________ |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
Not Applicable |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
Conference Session Feedback |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
Not Applicable |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
|||||
|
1 |
2 |
3 |
4 |
NA |
Please click the number that best represents your rating for this session for each of the following questions.
Please rate the overall quality of this session.
1 |
2 |
3 |
4 |
Poor |
Fair |
Good |
Excellent |
How useful was the session information to your work?
1 |
2 |
3 |
4 |
Not Useful |
Somewhat Useful |
Useful |
Very Useful |
As a result of participating in this session, do you plan to do any of the following? (Mark all that apply.)
Change my management/leadership or interpersonal communication style
Further develop skills and knowledge about serving people who are currently being trafficked, at risk of trafficking, or have been trafficked
Write grants/fundraise/identify new funding resources
Advocate or meet with leadership of my organization to develop/enhance vision, mission, or strategic plan
Advocate or meet with leadership of my organization to develop/enact policy changes at my organization
Improve programs/practices
Improve technology/websites/infrastructure
Integrate victim-centered, survivor-informed strategies
Expand services or types of services
Begin a new project or initiative
Develop/strengthen collaborative or strategic relationships
Network with other participants
Share materials with colleagues
Provide information to clients/families/youth
Train/educate others in content/skills learned
Raise public awareness/advocacy/outreach activities offered to people who are currently being trafficked, at risk of trafficking, or have been trafficked
Refer colleagues to NHTTAC events/resources
Conduct research
Strengthen evaluation or needs assessment activities
Improve identification and reporting methods for trafficking
Take additional training on human trafficking
Other (please specify): __________________
Of the barriers listed below, which do you believe will be a significant challenge to performing the activities you selected in the previous question? (Mark all that apply.)
Lack of senior leadership support
Lack of frontline support and accountability
Continuous turnover
Shortages of key personnel
Competing priorities
Inaccessible research and/or information
Lack of urgency
Lack of shared responsibility across organizational collaboration
Difficulty in establishing and/or maintaining a multi-disciplinary team
Need for partnership building with other organizations
Variation in mission and regulatory frameworks when partnering with other organizations
Lack of information and/or data sharing among organizations
Lack of time to implement changes
Lack of training for staff in how to implement change
Other (please explain): _________________
Would you recommend NHTTAC to others for T/TA? □ Yes □ No
What aspects of the session were most helpful and why?
______________________________________________________________________________
______________________________________________________________________________
What could be done differently to improve the session?
______________________________________________________________________________
______________________________________________________________________________
Do you have any other comments or suggestions?
______________________________________________________________________________
______________________________________________________________________________
Which of the following best describes the organization in which you work? (Mark all that apply.)
Academic institution
Anti-trafficking organization
Business/For-profit organization
Coalition/Multidisciplinary team/Task force
Federal government
Faith-based organization
State and local government
Nonprofit/Community-based organization
OTIP grantee
Self-employed
Survivor-led organization
Tribal government
Union/Worker advocacy organization
Victim service provider
Other, please specify: _____________________
Which of the following best describes your professional capacity or types of services you provide? (Mark all that apply.)
Behavioral health professional (e.g., psychologist, psychiatrist, mental health/substance use counselor)
Child welfare (e.g., state agency staff, child welfare contractor, nonprofit personnel)
Corrections-based services (e.g., parole, probation)
Criminal justice (e.g., law enforcement, prosecutor, probation, court, forensic interviewer)
Educator (e.g., teacher, professor, school administrator)
Professional capacity/types of services, continued
Health care (e.g., physician, physician assistant, nurse practitioner, dentist, nurse, pharmacist)
Housing (e.g., case worker, shelter director, public housing authority agencies)
Legal (e.g., immigration, civil and/or rights-based attorney and/or paralegal, clinic)
Public health (e.g., licensure board, health department staff, health care executive, community health workers)
Social worker (e.g., case manager, school counselor, supervisor, administrator)
Survivor empowerment, mentoring, or peer to peer
Violence prevention (e.g., Child abuse and neglect; elder abuse; domestic violence, sexual violence, youth violence)
Other (please specify): _______________________________
Is your organization responsible for working with people who are currently being trafficked or have been trafficked?
□ Yes □ No
Which of the following best describes the number of years of experience you have in your current field of work? (Mark one.)
□ Less than 3 years □ 3 to 5 years □ 6 to 10 years □ More than 10 years
Which of the following best describes your primary role in your current position?
□ Direct delivery/frontline staff □ Consultant/Trainer □ Administration
□ Management □ Volunteer □ Peer Educator
□ Other (please specify): _______________
In your professional capacity, how frequently do you come into contact with people who are currently being trafficked, at risk of trafficking, or have been trafficked?
1 |
2 |
3 |
4 |
Never |
Occasionally |
Frequently |
All the Time |
Which of the following best describes your geographic population? (Mark all that apply.)
□ National □ Local
□ State (please specify): ______________ □ Urban
□ Tribal □ Rural
□ International (please specify country): □ Suburban
_________________________________
Please select any of the following populations you currently work with in a professional capacity (Mark all that apply.)
Human trafficking
Commercial sexual exploitation of children
Sex trafficking
Adults
Minors
Labor trafficking
Adults
Minors
Children/youth
Out of home/Foster care/Kinship care
Juvenile justice
Runaway/Homeless youth
People with disabilities
Deaf/Hearing impaired
Elderly
Lesbian, gay, bisexual, transgender, and questioning
Foreign nationals (migrant workers, undocumented immigrants, refugees)
People with low incomes
Racial and ethnic minorities
American Indian or Alaska Native
Asian
Black or African American
Native Hawaii or other Pacific Islander
White
Hispanic or Latino ethnicity
History of substance use
Domestic and dating violence
Gang-related crime
Sexual abuse/Violence
Other (Please specify): ____________________
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 10 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.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Field, Michael |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |