1 Specialized TTA Feedback

S pecialized T/TA 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].

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: _______________________________________________________________ DATE(S): _______________________

CONSULTANT FACILITATOR(S): _______________________________________________________________________

NHTTAC COORDINATOR: _____________________________________________________________________________

Please indicate how well the training 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

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

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

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 demonstrated a comprehensive knowledge of the subject.	1	2	3	4	NA
The facilitator clearly and logically presented the content.	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 demonstrated a comprehensive knowledge of the subject.	1	2	3	4	NA
The facilitator clearly and logically presented the content.	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 T/TA reflected a public health approach to addressing human trafficking.	1	2	3	4	NA
The T/TA helped me identify potential language and cultural barriers my organization might face in responding to human trafficking.	1	2	3	4	NA
The T/TA was trauma informed.	1	2	3	4	NA
The T/TA was survivor informed.	1	2	3	4	NA
The T/TA was grounded in a multidisciplinary approach to addressing human trafficking.	1	2	3	4	NA
The T/TA included evidence-based research or promising practices.	1	2	3	4	NA
The T/TA will positively impact my organization’s response to human trafficking.	1	2	3	4	NA
This T/TA met my educational needs.	1	2	3	4	NA
This T/TA met my professional needs.	1	2	3	4	NA
This T/TA changed [my/my organization’s] attitudes on trauma-informed approaches to addressing trafficking	1	2	3	4	NA
This T/TA increased my professional networking or peer support	1	2	3	4	NA
This T/TA increased knowledge to inform a human trafficking public health response.	1	2	3	4	NA

T/TA Activity: ________________________	Strongly Disagree	Disagree	Agree		Strongly Agree		Not Applicable
[insert T/TA activity objective].	1	2	3		4		NA
[insert T/TA activity objective].	1	2	3		4		NA
[insert T/TA activity objective].	1	2	3		4		NA
[insert T/TA activity objective].	1	2	3		4		NA
[insert T/TA activity objective].	1	2	3		4		NA
[insert T/TA activity objective].	1	2	3		4		NA
[insert T/TA activity objective].	1	2	3		4		NA
[insert T/TA activity objective].	1	2	3		4		NA
[insert T/TA activity objective]	1	2	3		4		NA
[insert T/TA activity objective].	1	2	3		4		NA
Planning	Strongly Disagree	Disagree	Agree		Strongly Agree		Not Applicable
NHTTAC was responsive to my questions and needs.	1	2	3		4		NA
NHTTAC was effective in identifying an appropriate grantee to help with our request.	1	2	3		4		NA
NHTTAC staff was detail-oriented and thorough in the planning of this T/TA.	1	2	3		4		NA
NHTTAC was timely throughout the planning process.	1	2	3		4		NA
The planning for this T/TA was well coordinated.	1	2		3		4		NA

39. Please rate the overall quality of this T/TA.

    1	2	3	4
    Poor	Fair	Good	Excellent

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

    1	2	3	4
    Very Dissatisfied	Dissatisfied	Satisfied	Very Satisfied

41. How well did this assistance meet your expectations?

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

39. How responsive was NHTTAC to your needs following the T/TA?

1	2	3	4
Completely Unresponsive	Unresponsive	Responsive	Very Responsive

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

39. What are three things you plan to do as a result of this T/TA?

____________________________________________________________________________________________________

____________________________________________________________________________________________________

____________________________________________________________________________________________________

39. Following this T/TA, how prepared do you feel to take steps toward addressing human trafficking in your organization?

1	2	3	4
Not At All Prepared	Somewhat Prepared	Mostly Prepared	Completely Prepared

39. What could NHTTAC do in the future to enhance your level of preparedness during this type of T/TA?

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

39. What could NHTTAC do in the future to enhance your level of preparedness following this type of T/TA?

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

39. What aspects of the T/TA were most helpful and why?

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

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

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

_____________________________________________________________________________________________________

39. Do you have any other comments or suggestions?

____________________________________________________________________________________________________

____________________________________________________________________________________________________

_____________________________________________________________________________________________________

39. 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: _____________________

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

□ Yes □ No

39. 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): _______________________________

39. 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

39. Which of the following best describes your primary role in your current position?

□ Direct delivery/frontline staff □ Consultant/Trainer □ Administration

□ Management □ Volunteer

□ Other (please specify): ____________ □ Peer Educator

39. 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

39. 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

_________________________________

39. 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): __________________

39. 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): _______________________________________

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

• Hispanic or Latino

• Middle Eastern or North African

• Other (please specify): ________________________________________

39. 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 15 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.