W ebinar 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].
WEBINAR: _______________________________________________
DATE(S): _______________________________________________________________
PRESENTER(S):
Please indicate the extent to which you agree or disagree with the following statements:
OVERALL WEBINAR |
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PRESENTER 1: ___________________ |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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PRESENTER 2: ___________________ |
Strongly Disagree |
Disagree |
Agree |
Strongly Agree |
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Please rate the overall quality of this webinar.
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Poor |
Fair |
Good |
Excellent |
How useful was the webinar information to your work?
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Not Useful |
Somewhat Useful |
Useful |
Very Useful |
What additional topics related to human trafficking would you like included in future webinars?
____________________________________________________________________________________
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[Note: Questions 22–24 are only asked for evaluations of the Emerging Issues webinar series.]
There are a total of <insert number> webinars in the Emerging Issues series. Please check the webinars you attended from the following list:
<Insert webinar 1 title>
<Insert webinar 2 title>
<Insert webinar 3 title>
<Insert webinar 4 title>
<Insert webinar 5 title>
<Insert webinar 6 title>
<Insert webinar 7 title>
<Insert webinar 8 title>
<Insert webinar 9 title>
<Insert webinar 10 title>
Please rate the overall quality of the webinars you selected in the previous question.
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4 |
Poor |
Fair |
Good |
Very Good |
How well did the content in each webinar you selected complement each other?
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4 |
Not At All |
Not Well |
Well |
Very Well |
Would you recommend NHTTAC to others who need training or technical assistance? □ Yes □ No
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
Other (please specify): _______________________________
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
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?
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Never |
Occasionally |
Frequently |
Daily |
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): __________________
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 4 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 |