Pollinator State of the Science Workshop Participant Evaluation Form.

OMB Control Number: 0503-0021

Expiration Date: 03/31/21

USDA EPA Pollinator Summit – Facilitation Evaluation

Keystone Center and Pollinator Partnership

September 8-10, 2020

1. How would you rate your overall experience at this workshop?

10 9 8 7 6 5 4 3 2 1

Extremely good Extremely poor

2. How well did the meetings address the stated objectives of the workshop?

10 9 8 7 6 5 4 3 2 1

Extremely well Extremely poorly

3. Do you think there were sufficient opportunities to contribute to the discussion? YES / NO

Briefly, how could opportunities for contribution be improved? [Open-ended comment box]

4. Was the logistical material distributed prior to the workshop helpful? YES / NO

Briefly, how could the logistical material be improved? [Open-ended comment box]

5. Was the background material from the USDA Focus Subgroups relevant and useful? YES / NO

Briefly, how could the materials be improved? [Open-ended comment box]

6. Are there any additional factors associated with declines in pollinator health that you feel should have been addressed that were not? YES/NO

If YES, briefly, what are the additional factors? [Open-ended comment box]

7. What parts of the Workshop did you find most useful? Select top three.

☐ Plenary sessions

☐ Main breakout groups

☐ Mini-breakout groups

☐ Open house

☐ Big picture breakouts

☐ Report-outs from breakout groups

☐ Virtual reception

☐ Other, please specify: ________________

Additional comments: [Open-ended comment box]

What part of the Workshop did you find least useful? Select all that apply.

☐ Plenary sessions

☐ Main breakout groups

☐ Mini-breakout groups

☐ Open house

☐ Big picture breakouts

☐ Report-outs from breakout groups

☐ Virtual reception

☐ Other, please specify: ________________

Briefly tell us how we could improve the Workshop: [Open-ended comment box]

REGISTRATION

9. How would you characterize the online registration process?

10 9 8 7 6 5 4 3 2 1

Extremely easy Extremely difficult

Briefly tell us how we could improve the registration process: [Open-ended comment box]

OTHER

10. Noting that this was a closed meeting with a limited number of participants, are there any other groups or individuals who you think should be involved in this workshop next year? YES/NO

If YES, briefly indicate the other groups or individuals. [Open-ended comment box]

13. Do you have suggestions for logistics/format/structure for future workshops? YES/NO

If YES, briefly provide suggestions for logistics/format/structure. [Open-ended comment box]

14. Additional comments? [Open-ended comment box]

According to the Paperwork Reduction Act of 1995, an agency may not conduct or sponsor, and a person is not 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 0503-0021. The time required to complete this information collection is estimated to average 1 minute per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.

Continue on back