1 Pilot

Pilot Training OMB#: ####-####

Participant Feedback Date of Expiration:

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].

TRAINING:

DATE(S):

CONSULTANT(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:

08 for August)

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

OVERALL TRAINING	Strongly Disagree		Disagree	Agree	Strongly Agree	Not Applicable
The training addressed the learning objectives clearly.	1	2		3	4	NA
The training addressed the critical issues related to the topic(s).	1	2		3	4	NA
The time allotted was adequate for the scope of material covered.	1	2		3	4	NA
The training was well organized and clear.	1	2		3	4	NA
The [material] [strategic planning] was appropriate for my level of experience and knowledge.	1	2		3	4	NA
The resource materials (handouts, audiovisuals, PowerPoints) enhanced the training.	1	2		3	4	NA
The training increased my knowledge related to the topic(s).	1	2		3	4	NA
The training increased my practical skills related to the topic(s).	1	2		3	4	NA
I will be able to apply what I learned in my work.	1	2		3	4	NA
The training improved my ability to identify people who are being trafficked, at-risk of trafficking, or have been trafficked.	1	2		3	4	NA
The training was survivor informed.	1	2		3	4	NA
The training provided sufficient opportunity to network with others in the field.	1	2		3	4	NA
The training was trauma informed.	1	2		3	4	NA
The training content was based on current evidence-based research or promising practices.	1	2		3	4	NA
The small group activities enhanced my experience.	1	2		3	4	NA
The training met my professional needs.	1	2		3	4	NA
The training met my educational needs.	1	2		3	4	NA
I am satisfied with the overall quality of the training.	1	2		3	4	NA
The training was grounded in a multidisciplinary approach to addressing human trafficking.	1	2		3	4	NA

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

MODULE <X>: ____________________________	Strongly Disagree	Disagree	Agree	Strongly Agree	Not Applicable
As a result of this module, I can <insert learning objective>.	1	2	3	4	NA
As a result of this module, I can <insert learning objective>.	1	2	3	4	NA
As a result of this module, I can <insert learning objective>.	1	2	3	4	NA
As a result of this module, I can <insert learning objective>.	1	2	3	4	NA
The learning objectives for this module were stated clearly.	1	2	3	4	NA
MODULE <X>: ____________________________	Strongly Disagree	Disagree	Agree	Strongly Agree	Not Applicable
As a result of this module, I can <insert learning objective>.	1	2	3	4	NA
As a result of this module, I can <insert learning objective>.	1	2	3	4	NA
As a result of this module, I can <insert learning objective>.	1	2	3	4	NA
As a result of this module, I can <insert learning objective>.	1	2	3	4	NA
The learning objectives for this module were stated clearly.	1	2	3	4	NA

30. Please rate the overall quality of this training.

1	2	3	4
Poor	Fair	Good	Excellent

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

PRESENTER 1:___________________________	Strongly Disagree	Disagree	Agree	Strongly Agree	Not Applicable
The presenter demonstrated a comprehensive knowledge of the subject.	1	2	3	4	NA
The presenter presented the content clearly and logically.	1	2	3	4	NA
The presenter responded positively to questions and comments.	1	2	3	4	NA
The presenter created a respectful environment for participants.	1	2	3	4	NA
PRESENTER 2:___________________________	Strongly Disagree	Disagree	Agree	Strongly Agree	Not Applicable
The presenter demonstrated a comprehensive knowledge of the subject.	1	2	3	4	NA
The presenter presented the content clearly and logically.	1	2	3	4	NA
The presenter responded positively to questions and comments.	1	2	3	4	NA
The presenter created a respectful environment for participants.	1	2	3	4	NA

39. Did the training provide comprehensive coverage of the topic(s)? Please explain.

____________________________________________________________________________________

____________________________________________________________________________________

40. Was the content current and up-to-date? Please explain.

____________________________________________________________________________________

____________________________________________________________________________________

41. Was there anything you would change about the training content? Please explain.

____________________________________________________________________________________

____________________________________________________________________________________

42. Was there anything you would change about the resource materials (videos, handouts, PowerPoints, etc.)? Please explain.

____________________________________________________________________________________

____________________________________________________________________________________

43. Was there enough time for discussion and questions? Please explain.

____________________________________________________________________________________

____________________________________________________________________________________

44. What aspects of the training were most helpful, and why?

____________________________________________________________________________________

____________________________________________________________________________________

45. Is there any material, content, or activity you would recommend to not include in future trainings?

____________________________________________________________________________________

____________________________________________________________________________________

46. Are there specific resources you would recommend for inclusion in future trainings?

____________________________________________________________________________________

____________________________________________________________________________________

47. Do you have any other comments or suggestions?

____________________________________________________________________________________

____________________________________________________________________________________

48. 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): _____________________

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

□ Yes □ No

50. 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): _______________________________

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

1	2	3	4
Never	Occasionally	Frequently	Daily

52. Which of the following best describes the number of years of experience you have in your current field of work?

□ Less than 3 years □ 3–5 years □ 6–10 years □ More than 10 years

53. 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): _______________

54. 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

55. 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

• Intimate partner violence (e.g., dating, domestic violence)

• Gang-related crime

• Sexual abuse/Violence

• Other (please specify): __________________

56. 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): _______________________________________

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

 Hispanic or Latino

 Middle Eastern or North African

 Other (please specify): ________________________________________

58. 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/SOAR 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 9 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.