R esource Tool 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].
DATE DOWNLOADED/RECEIVED: _______________________
What [NHTTAC][SOAR] resource did you download or receive?
□ SOAR e-guide
□ State and territory profiles
□ Screening toolkit
□ Webinar recordings
□ Organizational toolkit
□ <Insert resource>
□ <Insert resource>
□ <Insert resource>
□ <Insert resource>
□ <Insert resource>
Which of the following best describes the reason you obtained <insert material>?
Personal use/assist a family member/friend
To better identify people who are at risk or have been trafficked
To better provide services to a person who is currently being trafficked, at risk of trafficking, or has been trafficked
For use in program development/operations
For academic studies
For education/community outreach
To train colleagues
Other (please specify): _____________________
How have you used the <insert material>? (Mark all that apply).
To train others
In your work with patients/clients
For protocol development
For outreach efforts
<Insert reason>
<Insert reason>
<Insert reason>
<Insert reason>
Please indicate the extent to which you agree or disagree with the following statements:
COMPONENT 1: _____________________________ |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
Not Applicable |
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4 |
NA |
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2 |
3 |
4 |
NA |
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2 |
3 |
4 |
NA |
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3 |
4 |
NA |
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3 |
4 |
NA |
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1 |
2 |
3 |
4 |
NA |
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4 |
NA |
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NA |
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1 |
2 |
3 |
4 |
NA |
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 2 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 |