Form 1 ANA GM - Blank Survey Form

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average 0.33 hours per response, including the time for reviewing instructions, gathering and maintaining the data needed, 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 OMB control number.

2018 ANA Grantee Meeting Survey

Workshop Title:

Please rate the following about the presentation. Your feedback is sincerely appreciated. Thank you.

INSTRUCTIONS

Please circle your response to the items. Rate aspects of the workshop on a 1 to 5

Scale (5 = Very Good and 1 = Very Poor) Choose N/A if the item is not appropriate or not applicable to this workshop.

Presenter's level of preparation:

Presenter's knowledge of subject material:

Presenter's awareness and responsiveness to questions:

Presenter’s use of time:

Presenter's presentation style:

Presenter's ability to present technical information clearly:

Presenter's positive attitude and ability to engage the audience:

Presenter's ability to provide real-life examples:

Use of Visual Aids and/or exercises:

Cultural relevance of the workshop:

Respondents’ overall rating of the workshop:

Workshop Content:

What topics covered in the workshop did you find most useful and why? Was enough time dedicated to those topics?

Which topics covered in the workshop did you find the least useful and why?

How can we improve this workshop/showcase to better meet your needs?

Additional comments:

Expiration date: 05/31/2021 OMB CN: 0970-0401