1 RequesterFeedback

Requester Feedback OMB#: ####-####

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].

REQUESTER NAME/AGENCY:

CONSULTANT(S)/PRESENTER(S):

NHTTAC Training/Technical Assistance SPECIALIST: ________________________________________________________

1. Please select the type of training and technical assistance (T/TA) you requested:

• Needs assessment

• Organization audit

• SOAR for communities

• In-person SOAR training

• In-person training

• Peer-to-peer collaboration

• Coaching

• Mentorship

• Review of materials (e.g., protocols, screening forms, etc.)

• Remote training

• Training of trainers

• SOAR training for HHS personnel

• Strategic partnerships for SOAR Online

• Other (please specify): ___________

Please indicate the extent to which you were satisfied or not satisfied with your overall experience working with NHTTAC:

	Very Dissatisfied	Dissatisfied	Satisfied	Very Satisfied
The overall quality of the support you received from NHTTAC staff	1	2	3	4
Your overall experience with NHTTAC staff	1	2	3	4
Your interactions with NHTTAC staff	1	2	3	4
Your interactions with the consultants	1	2	3	4
The quality of support you received from NHTTAC staff during the needs assessment process	1	2	3	4
The quality of support you received from the consultants in implementing the T/TA	1	2	3	4

Please indicate the extent to which you agree or disagree with the following statements about your interactions with NHTTAC staff and the planning process:

PLANNING	Strongly Disagree	Disagree	Agree	Strongly Agree
NHTTAC was responsive to my questions and needs.	1	2	3	4
NHTTAC was effective in identifying an appropriate consultant/presenter.	1	2	3	4
NHTTAC staff was detail oriented and thorough in the planning of this T/TA.	1	2	3	4
NHTTAC was timely throughout the planning process.	1	2	3	4
NEEDS ASSESSMENT	Strongly Disagree	Disagree	Agree	Strongly Agree
NHTTAC helped me determine the most important needs are for [me][my organization] to address human trafficking.	1	2	3	4
NHTTAC helped me determine the most important needs are for [me][my organization] to <insert objective>.	1	2	3	4
NHTTAC helped me determine the most important needs are for [me][my organization] to <insert objective>.	1	2	3	4
As a result of the needs assessment, [I][my organization] can….	1	2	3	4
As a result of the needs assessment, [I][my organization] can….	1	2	3	4
As a result of the needs assessment, [I][my organization] can….	1	2	3	4

18. What aspects of the NHTTAC planning process were most helpful, and why?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

19. What aspects of the needs assessment were most helpful, and why?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

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

CONSULTANT 1:_____________________		Strongly Disagree		Disagree		Agree		Strongly Agree
The consultant was easy to communicate with in planning for the T/TA.	1		2		3		4
The consultant responded to me in a timely manner.	1		2		3		4
The consultant was respectful.	1		2		3		4
The consultant’s knowledge and expertise were appropriate for my needs.	1		2		3		4
CONSULTANT 2:_____________________	Strongly Disagree		Disagree		Agree		Strongly Agree
The consultant was easy to communicate with in planning for the T/TA.	1		2		3		4
The consultant responded to me in a timely manner.	1		2		3		4
The consultant was respectful.	1		2		3		4
The consultant’s knowledge and expertise were appropriate for my needs.	1		2		3		4

28. Would you recommend [NHTTAC][SOAR] T/TA to others to receive T/TA? □ Yes □ No

29. What suggestions do you have for improving NHTTAC’s support of T/TA planning and/or delivery?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

30. What additional needs do you or your organization have regarding this topic?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

31. 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): _____________________

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

□ Yes □ No

33. 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): _______________________________

34. 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

35. 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

36. 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): _______________

37. 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

_________________________________

38. 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): __________________

39. Do you have any other comments or suggestions you would like to share about your [NHTTAC][SOAR] experience?

____________________________________________________________________________________

____________________________________________________________________________________

____________________________________________________________________________________

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

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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 7 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.