EXCEL Customer Feedback Survey

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

EXCEL 2018

EXCEL Customer Feedback Survey

OMB: 3046-0048

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 3046-0048 can be found here:
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2018 EXCEL Conference - Evaluation Form (Pre-Conference Sessions)Monday, July 9, 2...

2018 EXCEL Conference - Evaluation Form (Pre-Conference Sessions)
Monday, July 9, 2018
Counselor Refresher

1. Knowledge of Topic Before Session:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Below Average

Ineffective

2. Knowledge of Topic After Session:
Outstanding

Very Effective

Acceptable

3. Presenter(s):
Outstanding

Very Effective

Acceptable

Below
Average

Ineffective

Presenter 1
Presenter 2

4. Overall Rating of Session:
Outstanding

5. Comments:

Very Effective

Acceptable

Below Average

Ineffective

2018 EXCEL Conference - Evaluation Form (Pre-Conference Sessions)Monday, July 9, 2...

6. Contact Information (Optional)
Name
Company
Email Address
Phone Number

2018 EXCEL Conference - Evaluation Form (Day One)Tuesday, July 10, 2018 Survey

2018 EXCEL Conference - Evaluation Form (Day One)
Tuesday, July 10, 2018
How would you rate your session(s)?

1. Session 1A:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

2. Session 1B:
Outstanding

Comments:

3. Session 1C:
Outstanding

Comments:

2018 EXCEL Conference - Evaluation Form (Day One)Tuesday, July 10, 2018 Survey

4. Session 1D:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

5. Session 1E:
Outstanding

Comments:

6. Session 1F:
Outstanding

Comments:

7. Session 1G:
Outstanding

2018 EXCEL Conference - Evaluation Form (Day One)Tuesday, July 10, 2018 Survey

Comments:

8. Session 1H:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

9. Session 2A:
Outstanding

Comments:

10. Session 2B:
Outstanding

Comments:

11. Session 2C:

2018 EXCEL Conference - Evaluation Form (Day One)Tuesday, July 10, 2018 Survey

Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

12. Session 2D:
Outstanding

Comments:

13. Session 2E:
Outstanding

Comments:

14. Session 2F:
Outstanding

Comments:

2018 EXCEL Conference - Evaluation Form (Day One)Tuesday, July 10, 2018 Survey

15. Session 2G:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

16. Session 2H:
Outstanding

Comments:

17. Session 3A:
Outstanding

Comments:

18. Session 3B:
Outstanding

Comments:

2018 EXCEL Conference - Evaluation Form (Day One)Tuesday, July 10, 2018 Survey

19. Session 3C:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

20. Session 3D:
Outstanding

Comments:

21. Session 3E:
Outstanding

Comments:

22. Session 3F:
Outstanding

2018 EXCEL Conference - Evaluation Form (Day One)Tuesday, July 10, 2018 Survey

Comments:

23. Session 3G:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

24. Session 3H:
Outstanding

Comments:

25. Contact Information (Optional)
Name
Company
Email Address
Phone Number

2018 EXCEL Conference - Evaluation Form (Day Two)Wednesday, July 11, 2018 Survey

2018 EXCEL Conference - Evaluation Form (Day Two)
Wednesday, July 11, 2018
How would you rate your session(s)?

1. Session 4A:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

2. Session 4B:
Outstanding

Comments:

3. Session 4C:
Outstanding

Comments:

2018 EXCEL Conference - Evaluation Form (Day Two)Wednesday, July 11, 2018 Survey

4. Session 4D:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

5. Session 4E:
Outstanding

Comments:

6. Session 4F:
Outstanding

Comments:

7. Session 4G:
Outstanding

2018 EXCEL Conference - Evaluation Form (Day Two)Wednesday, July 11, 2018 Survey

Comments:

8. Session 4H:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

9. Session 5A:
Outstanding

Comments:

10. Session 5B:
Outstanding

Comments:

11. Session 5C:

2018 EXCEL Conference - Evaluation Form (Day Two)Wednesday, July 11, 2018 Survey

Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

12. Session 5D:
Outstanding

Comments:

13. Session 5E:
Outstanding

Comments:

14. Session 5F:
Outstanding

Comments:

2018 EXCEL Conference - Evaluation Form (Day Two)Wednesday, July 11, 2018 Survey

15. Session 5G:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

16. Session 5H:
Outstanding

Comments:

17. Session 6A:
Outstanding

Comments:

18. Session 6B:
Outstanding

Comments:

2018 EXCEL Conference - Evaluation Form (Day Two)Wednesday, July 11, 2018 Survey

19. Session 6C:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

20. Session 6D:
Outstanding

Comments:

21. Session 6E:
Outstanding

Comments:

22. Session 6F:
Outstanding

2018 EXCEL Conference - Evaluation Form (Day Two)Wednesday, July 11, 2018 Survey

Comments:

23. Session 6G:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

24. Session 6H:
Outstanding

Comments:

25. Contact Information (Optional)
Name
Company
Email Address
Phone Number

2018 EXCEL Conference - Evaluation Form (Day Three)Thursday, July 12, 2018 Survey

2018 EXCEL Conference - Evaluation Form (Day Three)
Thursday, July 12, 2018
How would you rate your session(s)?

1. Session 7A:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

2. Session 7B:
Outstanding

Comments:

3. Session 7C:
Outstanding

Comments:

2018 EXCEL Conference - Evaluation Form (Day Three)Thursday, July 12, 2018 Survey

4. Session 7D:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

5. Session 7E:
Outstanding

Comments:

6. Session 7F:
Outstanding

Comments:

7. Session 7G:
Outstanding

Comments:

2018 EXCEL Conference - Evaluation Form (Day Three)Thursday, July 12, 2018 Survey

8. Session 7H:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

9. Session 8A:
Outstanding

Comments:

10. Session 8B:
Outstanding

Comments:

11. Session 8C:
Outstanding

2018 EXCEL Conference - Evaluation Form (Day Three)Thursday, July 12, 2018 Survey

Comments:

12. Session 8D:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

13. Session 8E:
Outstanding

Comments:

14. Session 8F:
Outstanding

Comments:

15. Session 8G:
Outstanding

2018 EXCEL Conference - Evaluation Form (Day Three)Thursday, July 12, 2018 Survey

Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

16. Session 8H:
Outstanding

Comments:

17. Session 9A:
Outstanding

Comments:

18. Session 9B:
Outstanding

Comments:

19. Session 9C:
Outstanding

2018 EXCEL Conference - Evaluation Form (Day Three)Thursday, July 12, 2018 Survey

Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Very Effective

Acceptable

Below Average

Ineffective

Comments:

20. Session 9D:
Outstanding

Comments:

21. Session 9E:
Outstanding

Comments:

22. Session 9F:
Outstanding

Comments:

2018 EXCEL Conference - Evaluation Form (Day Three)Thursday, July 12, 2018 Survey

23. Session 9G:
Outstanding

Very Effective

Comments:

24. Contact Information (Optional)
Name
Company
Email Address
Phone Number

Acceptable

Below Average

Ineffective

2018 EXCEL Conference - Evaluation Form (Specialty Tracks) Tuesday, July 10, 2018 -...

2018 EXCEL Conference - Evaluation Form (Specialty Tracks)
Tuesday, July 10, 2018 - Thursday, July 12, 2018
Specialty Track 1

1. Knowledge of Topic Before Session:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

Below Average

Ineffective

2. Knowledge of Topic After Session:
Outstanding

Very Effective

Acceptable

3. Presenter(s):
Outstanding

Very Effective

Acceptable

Below
Average

Ineffective

Presenter 1
Presenter 2
Presenter 3

4. Overall Rating of Session:
Outstanding

Very Effective

Acceptable

Below Average

Ineffective

2018 EXCEL Conference - Evaluation Form (Specialty Tracks) Tuesday, July 10, 2018 -...

5. Comments:

6. Contact Information (Optional)
Name
Company
Email Address
Phone Number
File Type	application/pdf
Author	MCREW
File Modified	2018-02-28
File Created	2018-02-28