1 Short Term TTA Feedback

SHORT TERM T/TA OMB#: ####-####

FEEDBACK Date of Expiration: ##/##/####

Protocol

In order to help the National Technical assistance 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].

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)

T/TA: ___________________________________________________________________________________________

DATES(S):_____________________________________________________

FACILITATOR(S): ________________________________________________________________________________

Please indicate how well the technical assistance met each stated objective.

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

Please indicate the extent to which you agree or disagree with the following statements.

Facilitator 1: _______________________	Strongly Disagree	Disagree	Agree	Strongly Agree	Not Applicable
The facilitator’s knowledge and expertise of this presenter were appropriate for this technical assistance.	1	2	3	4	NA
The facilitator delivered the content of the technical assistance effectively.	1	2	3	4	NA
The facilitator responded well to questions and comments.	1	2	3	4	NA
The facilitator created a respectful environment for participants.	1	2	3	4	NA
The facilitator encouraged and initiated helpful discussions.	1	2	3	4	NA
Facilitator 2: _______________________	Strongly Disagree	Disagree	Agree	Strongly Agree	Not Applicable
The facilitator’s knowledge and expertise of this presenter were appropriate for this technical assistance.	1	2	3	4	NA
The facilitator delivered the content of the technical assistance effectively.	1	2	3	4	NA
The facilitator responded well to questions and comments.	1	2	3	4	NA
The facilitator created a respectful environment for participants.	1	2	3	4	NA
The facilitator encouraged and initiated helpful discussions.	1	2	3	4	NA
Overall Feedback	Strongly Disagree	Disagree	Agree	Strongly Agree	Not Applicable
The technical assistance addressed the critical issues related to the topic(s).	1	2	3	4	NA
The time allotted was adequate for the scope of material.	1	2	3	4	NA
The technical assistance was well organized and clear.	1	2	3	4	NA
The technical assistance increased my knowledge related to the topic(s).	1	2	3	4	NA
The technical assistance was trauma-informed.	1	2	3	4	NA
The technical assistance was survivor-informed.	1	2	3	4	NA
The technical assistance was grounded in current evidence-based or promising practices.	1	2	3	4	NA
The technical assistance was grounded in a multidisciplinary approach to addressing human trafficking.	1	2	3	4	NA
The technical assistance reflected a public health approach to addressing human trafficking.	1	2	3	4	NA
The technical assistance increased my practical skills related to the topic(s).	1	2	3	4	NA
This technical assistance met my educational needs.	1	2	3	4	NA
This technical assistance met my professional needs.	1	2	3	4	NA
I will be able to apply what I learned in my work.	1	2	3	4	NA
The technical assistance improved my ability to serve people who are currently being trafficked, at risk of trafficking, or have been trafficked.	1	2	3	4	NA
I will share what I learned with my colleagues.	1	2	3	4	NA

Please select the number that best represents your rating of this technical assistance for each of the following questions.

31. How satisfied were you with your overall NHTTAC experience?

    1	2	3	4
    Very Dissatisfied	Dissatisfied	Satisfied	Very Satisfied

32. Please rate the overall quality of this technical assistance.

    1	2	3	4
    Poor	Fair	Good	Excellent

33. How well did this technical assistance meet your expectations?

    1	2	3	4
    Far Below My Expectations	Did Not Meet My Expectations	Met My Expectations	Exceeded My Expectations

34. How useful was the technical assistance information to your work?

    1	2	3	4
    Not Useful	Somewhat Useful	Useful	Very Useful

35. How prepared do you feel in implementing what you learned from this technical assistance in your daily work?

1	2	3	4
Not At All Prepared	Somewhat Unprepared	Somewhat Prepared	Very Prepared

36. As a result of participating in this technical assistance, 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): __________________

37. 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

• Lack of information sharing among organizations

• Lack of time to implement changes

• 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): _________________

38. Would you recommend NHTTAC to others to receive T/TA? □ Yes □ No

39. Please list any professional goals you have achieved through this T/TA.

____________________________________________________________________________________

____________________________________________________________________________________

40. How will this assistance help your agency in responding to human trafficking?

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

41. What aspects of the assistance were most helpful and why?

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

42. What could NHTTAC do differently to improve similar T/TA requests in the future?

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

43. Do you have any other comments or suggestions?

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

44. 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): _____________________

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

□ Yes □ No

46. 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)

• 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): ____________________________

47. 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

48. 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): _______________

49. 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	Daily

50. 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

_________________________________

51. 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): __________________

52. What is your race? (Mark all that apply.)

 American Indian or Alaska Native

 Asian

 Black or African American

 Native Hawaii or other Pacific Islander

 White

 Other (please specify): _______________________________________

53. What is your ethnicity? (Mark all that apply.)

 Hispanic or Latino

 Middle Eastern or North African

 Other (please specify): ________________________________________

54. What is your gender? (Mark all that apply.)

 Male

 Female

 Transgender

 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 [email protected] or 9300 Lee Highway, Fairfax, VA 22031.