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Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

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National Human Trafficking Training and Technical Assistance Center Scholarship Application Forms

OMB: 0970-0401

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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].

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DATE DOWNLOADED/RECEIVED: _______________________


  1. 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>


  1. 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): _____________________



  1. 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

  1. The resource addressed the critical issues related to the topic(s).

1

2

3

4

NA

  1. I am satisfied with the overall quality of the material.

1

2

3

4

NA

  1. The material was organized and clear.

1

2

3

4

NA

  1. The terminology included in the material was used correctly.

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2

3

4

NA

  1. The material increased my knowledge about the topic(s).

1

2

3

4

NA

  1. The material included current evidence-based research or promising practices.

1

2

3

4

NA

  1. The material reflected a public health approach to addressing human trafficking.

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3

4

NA

  1. The content of the material was survivor informed.

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3

4

NA

  1. The content of the material was trauma informed.

1

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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 Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorField, Michael
File Modified0000-00-00
File Created2021-01-21

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