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Overall Meeting Evaluation

ICR 201802-0925-002 · OMB 0925-0648 · Object 83722901.

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National Institute of Mental Health 
Outreach Partnership Program XXXX Annual Meeting Assessment 

Public reporting burden for this collection of information is estimated to average 2 minutes 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. 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. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to: NIH Project Clearance Branch, 6705 Rockledge Drive, MSC 7974, Bethesda, MD 20892-7974, ATTN: PRA (0925-0648). Do not return the completed form to this address.

Thank you for attending the NIMH Outreach Partnership Program annual meeting. Please take a moment to answer the following questions and rate how useful the presentations and discussions were to your organization and to your Outreach Partner efforts.  


Use a  to indicate how useful the information presented is to your Outreach Partner activities.
Presentation
Very Useful
Useful
Somewhat Useful 
Not Very Useful
Not Useful
Did not Attend
Presentation topic
 
 
 
 
 
 
Presentation topic






Presentation topic






Presentation topic






Presentation topic






Presentation topic







Please describe aspects of the presentations that were of most benefit and why:





_____________________________________________________________________________________________

Use a  to indicate your rating of the following statement about the meeting.
OVERALL
Strongly Agree
Agree
Somewhat Agree
Disagree
Strongly Disagree
I will be able to apply the information learned at this meeting in my outreach and education activities.
 
 
 
 
 

What kind of activities might you consider initiating, or expanding as a result of what you learned at this meeting?








Was the [meeting activity and/or interaction] useful in generating ideas for discussion and about ways to share meeting information at home?






Overall which aspects of the meeting were most helpful and why?








Use a  to indicate your rating of the following general statements about the meeting.


OVERALL 
Excellent
Very Good
Good
Fair 
Poor
Overall relevance of presentations and discussions as they relate to my work as an NIMH Outreach Partner or National Partner
 
 
 
 
 
Time allotted for presentations
 
 
 
 
 
Time allotted for discussion
 
 
 
 
 
Time allotted to learn about other Partners’ outreach and educational efforts
 
 
 
 
 
Meeting materials
 
 
 
 
 
Logistics support (travel, registration, and onsite)
 
 
 
 
 
Overall, I would rate this meeting
 
 
 
 
 

What topics would you like to hear about at future meetings? 







What could be improved upon at future meetings?








I am a(n):

       Outreach Partner 	 Speaker or Guest 		 Federal Government Representative
       National Partner 	 NIMH or NIH Staff 

Additional Comments: