Health and Human Services (HHS) Office of the Assistant Secretary for Health (OASH) Region 4, Raising Awareness of Human Trafficking Among School Personnel Training End-of-Course Evaluation

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

0990-0379 Survey Instrument for Raising Awareness of Human Trafficking Among School Personnel

Health and Human Services (HHS) Office of the Assistant Secretary for Health (OASH) Region 4, Raising Awareness of Human Trafficking Among School Personnel Training End-of-Course Evaluation

OMB: 0990-0379

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Form Approved

OMB No. 0990-0379

Exp. Date XX/XX/2020



IV. Draft Post-Training Evaluation Survey

Feedback Set Preview

Set Name: Activity Evaluation Raising Awareness of Human Trafficking Among School Personnel Training

Pre-test

Rate your level of confidence in being able to:

  1. Describe the types of human trafficking in the United States

  • Very Low

  • Low

  • Moderate

  • High

  • Very High

  1. Recognize possible indicators of human trafficking

  • Very Low

  • Low

  • Moderate

  • High

  • Very High

  1. Demonstrate how to identify and respond to potential trafficking victims

  • Very Low

  • Low

  • Moderate

  • High

  • Very High

  1. Respond appropriately to potential human trafficking in your community


  • Very Low

  • Low

  • Moderate

  • High

  • Very High



According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379 . The time required to complete this information collection is estimated to average _15 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer







  1. Share the importance of human trafficking awareness and responsiveness with others in your work environment

  • Very Low

  • Low

  • Moderate

  • High

  • Very High





Post-test

I. OVERALL ACTIVITY OBJECTIVES

Rate your level of confidence in being able to:

  1. Describe the types of human trafficking in the United States

  • Very Low

  • Low

  • Moderate

  • High

  • Very High

  1. Recognize possible indicators of human trafficking

  • Very Low

  • Low

  • Moderate

  • High

  • Very High

  1. Demonstrate how to identify and respond to potential trafficking victims

  • Very Low

  • Low

  • Moderate

  • High

  • Very High

  1. Respond appropriately to potential human trafficking in your community


  • Very Low

  • Low

  • Moderate

  • High

  • Very High

  1. Share the importance of human trafficking awareness and responsiveness with others in your work environment

  • Very Low

  • Low

  • Moderate

  • High

  • Very High



II. COMMITMENT TO CHANGE

  1. Which of the following tools and strategies do you commit to using in your work environment with regard to advocacy for potential victims of human trafficking? Please select all that apply:

Add human trafficking topic to Meetings/Briefs/Huddles

Debrief others on this training

Encourage team members to speak up and challenge when appropriate

Share resources

Display tips and referral information in prominent work areas

None

Other (please explain):

Shape1

  1. Of these barriers listed below which do you believe will be a SIGNIFICANT CHALLENGE to keeping your commitment to change (check all that apply)?

Lack of senior leadership support

Lack of frontline champions/coaches/trainers

Lack of frontline leadership support and accountability

Continuous turnover and shortages of key personnel

Competing priorities/Lack of urgency

Other (please explain):


Shape2

III. IMPACT OF TRAINING

  1. I am confident that I will be able to use the knowledge and skills that I learned during training when I return to my job.

  • Strongly Agree

  • Agree

  • Neutral/Moderate

  • Disagree

  • Strongly Disagree

IV. COURSE CONTENT AND DELIVERY

  1. This training activity met my educational needs.

  • Strongly Agree

  • Agree

  • Neutral/Moderate

  • Disagree

  • Strongly Disagree


  1. The educational materials provided during this training were useful.

  • Strongly Agree

  • Agree

  • Neutral/Moderate

  • Disagree

  • Strongly Disagree


  1. The activity provided appropriate and effective opportunities for active learning (e.g., case studies, discussion, Q&A, etc.)

  • Strongly Agree

  • Agree

  • Neutral/Moderate

  • Disagree

  • Strongly Disagree



  1. Overall were the instructors knowledgeable regarding the content?

  • Yes

  • No



  1. How much did you learn as a result of this program?

    

A Great Deal Very Little



  1. How useful was the content of this program for your practice or other professional development?

    

Extremely Useful Not Useful

  1. What aspects of this training activity were most beneficial?



Shape3

Shape4



V. PARTICIPANT AFFILIATION



17.Where do you primarily interact with students? Please select only ONE.

  • Classroom

  • Hallways

  • Office

  • School Bus

  • Cafeteria

  • Gym

  • Other (please explain):

Shape5





File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorShepherd, Jill [USA]
File Modified0000-00-00
File Created2021-01-21

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