Form CSOSA - 2 CSOSA - 2 Community Resource Day Program Presenter Feedback Survey

Collection of Qualitative Feedback on Agency Service Delivery

community resource day presenter feedback - omb version 9-21-17

OLIPA Survey Forms

OMB: 3225-0002

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Form Approved:

OMB No. 3225-0002

Exp. Date: 09/30/2020

Form: CSOSA - 2



COMMUNITY RESOURCE DAY

PROGRAM PRESENTER FEEDBACK SURVEY

TODAY’S DATE: ______________________

Please complete this form before you leave today. Your responses will help us improve future Community Resource Day programs. Your participation is voluntary. Refusing to complete this survey will not result in any penalties. Your responses are important, encouraged, and will be treated as confidential. Your responses will only be disclosed as permitted under the Privacy Act (5 U.S.C. 552a).

Once you have completed your survey, please place the form face down in the designated survey reply box, located adjacent to the conference room exit door. Thank you.

  1. In general, how would you rate today’s program?

□ Excellent □ Good □ Fair □ Poor

  1. Did we provide you with the necessary tools for your presentation? □ Yes □ No

IF answered “NO”, please explain: _______________________________________________________



  1. What suggestions do you have for improving future Community Resource Day programs?

________________________________________________________________________________________

_________________________________________________________________________________________

  1. Are there any other topics you suggest be included in future Community Resource Day Programs?

□ Yes □ No - If answered “YES”, please explain: ________________________________

  1. How would you rate the effectiveness of Community Resource Day in helping your organization connect with returning citizens upon release?

□ Very Effective □ Effective □ Somewhat Effective □ Not Effective □ Don’t Know

Please explain: __________________________________________________________________

______________________________________________________________________________

Public reporting burden for this collection of information is estimated to be 5 minutes, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid Office of Management and Budget (OMB) control number. Send comments regarding this burden estimate or another aspect of this collection of information, including suggestions for reducing this burden to:



Court Services and Offender Supervision Agency | Office of Research and Evaluation | 601 Indiana Ave. NW, Suite 512 | Washington, DC 20004

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