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pdfOMB Control Number: 0970-0519
Expiration Date: 10/31/2021
GENERAL TRAINING
PARTICIPANT
FEEDBACK
Form
In order to help the National Human Trafficking Training and Technical Assistance Center (NHTTAC) better serve the field, we
are reaching out to obtain your feedback. We will protect the privacy of your information in accordance with the Federal Privacy
Act, and we will protect the confidentiality of your responses using procedures we have in place, including reporting all
information in aggregate to avoid identifying information. Only members of the NHTTAC Evaluation Team have access to
information that could identify respondents. If you have any questions about this survey or the evaluation, please contact
[email protected].
TRAINING:
DATE(S):
CONSULTANT(S)/FACILITATOR(S):
PRETRAINING EVALUATION
Please provide the information below to create an anonymous ID:
____________
____________
______________
Birth Month
First letter of first name
First letter of your middle name
(insert just the month
for your date of birth:
08 for August)
(example: S for Sara)
(example: M for Maria)
To what extent are you knowledgeable about:
Not At All
Knowledgeable
Somewhat
Knowledgeable
Very
Knowledgeable
1.
1
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3
2.
1
2
3
3.
1
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3
4.
1
2
3
5.
1
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3
How prepared are you to teach others about:
Not At All Prepared
Somewhat Prepared
Well Prepared
6.
1
2
3
7.
1
2
3
8.
1
2
3
9.
1
2
3
10.
1
2
3
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 2 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.
OMB Control Number: 0970-0519
Expiration Date: 10/31/2021
GENERAL TRAINING
PARTICIPANT
FEEDBACK
Form
POSTTRAINING EVALUATION
Please provide the information below to create an anonymous ID:
____________
____________
______________
Birth Month
First letter of first name
First letter of your middle name
(insert just the month
(example: S for Sara)
(example: M for Maria)
for your date of birth:
08 for August)
Please click the number that best represents how well this training met its stated objectives:
Did Not Achieve
This Objective
Somewhat Achieved
This Objective
Achieved This
Objective
1.
1
2
3
2.
1
2
3
3.
1
2
3
4.
1
2
3
5.
1
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3
6.
7.
8.
Overall, how well did this training meet your expectations?
1
2
3
4
Far Below My
Expectations
Did Not Meet My
Expectations
Met My
Expectations
Exceeded My
Expectations
How useful was the training to your work?
1
2
3
4
Not Useful
Somewhat Useful
Useful
Very Useful
□
Did you receive continuing education credits for completing this training?
Yes
□
No
Please indicate the extent to which you agree or disagree with the following statements:
FACILITATOR 1: ___________________
9.
The knowledge and expertise of the facilitator were
appropriate for the training.
10. The facilitator presented the content clearly and logically.
Strongly
Disagree
Disagree
Agree
Strongly Agree
Not
Applicable
1
2
3
4
NA
1
2
3
4
NA
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 6 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.
OMB Control Number: 0970-0519
Expiration Date: 10/31/2021
GENERAL TRAINING
PARTICIPANT
FEEDBACK
Form
11. The facilitator responded positively to questions and
comments.
12. The facilitator created a respectful environment for
participants.
13. The facilitator encouraged and initiated helpful discussions.
FACILITATOR 2: ___________________
14. The knowledge and expertise of the facilitator were
appropriate for the training.
15. The facilitator presented the content clearly and logically.
16. The facilitator responded positively to questions and
comments.
17. The facilitator created a respectful environment for the
participants.
18. The facilitator encouraged and initiated helpful discussions.
TRAINING FEEDBACK
19. The format of the training contributed to a positive meeting
environment.
20. The format of the training made it easy to ask questions and
collaborate with other participants.
21. The training addressed the critical issues related to the
topic(s).
1
2
3
4
NA
1
2
3
4
NA
1
2
3
4
NA
Strongly
Disagree
Disagree
Agree
Strongly Agree
Not
Applicable
1
2
3
4
NA
1
2
3
4
NA
1
2
3
4
NA
1
2
3
4
NA
1
2
3
4
NA
Strongly
Disagree
Disagree
Agree
Strongly Agree
Not
Applicable
1
2
3
4
NA
1
2
3
4
NA
1
2
3
4
NA
1
2
3
4
NA
1
2
3
4
NA
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4
NA
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4
NA
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4
NA
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NA
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NA
29. The training was trauma informed.
1
2
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4
NA
30. I will be able to apply what I learned in my work.
1
2
3
4
NA
1
2
3
4
NA
1
2
3
4
NA
33. The training met my educational needs.
1
2
3
4
NA
34. The training met my professional needs.
1
2
3
4
NA
35. I will share the information I learned at the training with my
colleagues.
1
2
3
4
NA
22. The training was organized and clear.
23. The training increased my knowledge related to the
topic(s).
24. The training increased my practical skills related to the
topic(s).
25. The training was survivor informed.
26. The training included current evidence-based or promising
practices related to the topic(s).
27. The training reflected a public health approach to
addressing human trafficking.
28. The training was grounded in a multidisciplinary approach
to addressing human trafficking.
31. The training improved my ability to serve people who are
being trafficked, at risk of trafficking, or have been
trafficked.
32. The meeting space and use of technology provided a good
learning environment.
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 6 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.
OMB Control Number: 0970-0519
Expiration Date: 10/31/2021
GENERAL TRAINING
PARTICIPANT
FEEDBACK
Form
36. Please rate the overall quality of this training.
1
2
3
4
Poor
Fair
Good
Excellent
To what extent do you feel prepared to apply the following in your daily work:
Not At All Prepared
Somewhat Prepared
Well Prepared
37.
1
2
3
38.
1
2
3
39.
1
2
3
40.
1
2
3
41.
1
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3
42. If you do not feel prepared to apply one or more of the objectives above, please briefly explain why:
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
43. What are the three most important things you learned during the training?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
44. What could be done differently to improve the training?
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
45. As a result of participating in this session, do you plan to do any of the following? (Mark all that apply.)
Change my management/leadership or
interpersonal communication style
Further develop skills and knowledge about serving
victims of trafficking
Write grants/fundraise/identify new funding
resources
Advocate or meet with leadership of my
organization to develop/enhance vision, mission, or
strategic plan
Advocate or meet with leadership of my
organization to develop/enact policy changes at my
organization
Improve programs/practices
Improve technology/websites/infrastructure
Integrate victim-centered, survivor-informed
strategies
Expand services or types of services
Begin a new project or initiative
Develop/strengthen collaborative or strategic
relationships
Network with other participants
Share materials with colleagues
Provide information to clients/families/youth
Train/educate others in content/skills learned
Raise public awareness/advocacy/outreach
activities offered to victims
Refer colleagues to NHTTAC events/resources
Conduct research
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 6 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.
OMB Control Number: 0970-0519
Expiration Date: 10/31/2021
GENERAL TRAINING
PARTICIPANT
FEEDBACK
Form
Strengthen evaluation or needs assessment
activities
Improve identification and reporting methods for
trafficking
Take additional training on human trafficking
Other (please specify): __________________
46. Of the barriers listed below, which do you believe will be a significant challenge to performing the activities you selected in
the previous question? (Mark all that apply.)
Lack of senior leadership support
Lack of frontline support and accountability
Continuous turnover
Shortages of key personnel
Competing priorities
Inaccessible research and/or information
Lack of urgency
Lack of shared responsibility across organizational
collaboration
Lack of time to implement changes
Difficulty in establishing and/or maintaining a
multidisciplinary team
Variation in mission and regulatory frameworks
when partnering with other organizations
Lack of information and/or data sharing among
organizations
Lack of training for staff in how to implement
change
Other (please explain): _________________
□
47. Would you recommend NHTTAC/SOAR to others for training?
Yes
□
No
48. Which of the following best describes the organization in which you work? (Mark all that apply.)
Academic institution
Anti-trafficking organization
Business/for-profit organization
Coalition/multidisciplinary team/task force
Federal government
Faith-based organization
State/local government
Nonprofit/community-based organization
OTIP grantee
Self-employed
Survivor-led organization
Tribal government
Union/worker advocacy organization
Victim service provider
Other (please specify): _____________________
49. Is your organization responsible for working with people who are currently being trafficked or have been trafficked?
□
Yes
□
No
50. Which of the following best describes your professional capacity or types of services you provide? (Mark all that apply.)
Behavioral health professional (e.g., psychologist,
psychiatrist, mental health/substance use counselor)
Child welfare (e.g., state agency staff, child welfare
contractor, nonprofit personnel)
Corrections-based services (e.g., parole, probation)
Criminal justice (e.g., law enforcement, prosecutor,
probation, court, forensic interviewer)
Educator (e.g., teacher, professor, school
administrator)
Health care (e.g., physician, physician assistant,
nurse practitioner, dentist, nurse, pharmacist)
Housing (e.g., case worker, shelter director, public
housing authority agencies)
Legal (e.g., immigration, civil and/or rights-based
attorney and/or paralegal, clinic)
Public health (e.g., licensure board, health
department staff, health care executive, community
health workers)
Social worker (e.g., case manager, school
counselor, supervisor, administrator)
Survivor empowerment, mentoring, or peer to peer
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 6 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.
OMB Control Number: 0970-0519
Expiration Date: 10/31/2021
GENERAL TRAINING
PARTICIPANT
FEEDBACK
Form
Violence prevention (e.g., child abuse and neglect;
elder abuse; domestic violence, sexual violence,
youth violence)
Other (please specify):
_______________________________
51. Which of the following best describes the number of years of experience you have in your current field of work?
□
Less than 3 years
□
□
3–5 years
6–10 years
□
More than 10 years
□
□
Administration
Peer educator
52. Which of the following best describes your primary role in your current position?
□
□
□
Direct delivery/frontline staff
Management
Other (please specify): ______
□
□
Consultant/trainer
Volunteer
53. In your professional capacity, how frequently do you come into contact with a person who is currently being trafficked, at
risk of being trafficked, or has been trafficked?
1
2
3
4
Never
Occasionally
Frequently
Daily
54. Which of the following best describes your geographic population? (Mark all that apply.)
□
□
□
□
National
□
State (please specify): ______________
Tribal
International (please specify country): _____________
Local
□ Urban
□ Rural
□ Suburban
55. Please select any of the following populations you currently work with in a professional capacity (Mark all that apply.)
Human trafficking
Commercial sexual exploitation of
children
Sex trafficking
Adults
Minors
Labor trafficking
Adults
Minors
Children/youth
Out of home/Foster care/Kinship care
Juvenile justice
Runaway/Homeless youth
People with disabilities
Deaf/Hearing impaired
Elderly
Lesbian, gay, bisexual, transgender, and
questioning
56. What is your race? (Mark all that apply.)
Foreign nationals (migrant workers, undocumented
immigrants, refugees)
People with low incomes
Racial and ethnic minorities
American Indian or Alaska Native
Asian
Black or African American
Native Hawaii or other Pacific Islander
White
Hispanic or Latino ethnicity
History of substance use
Intimate partner violence (e.g., dating, domestic
violence)
Gang-related crime
Sexual abuse/Violence
Other (please specify): __________________
American Indian or Alaska Native
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 6 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.
GENERAL TRAINING
PARTICIPANT
FEEDBACK
OMB Control Number: 0970-0519
Expiration Date: 10/31/2021
Form
Asian
Black or African American
Native Hawaii or other Pacific Islander
White
Other (please specify): _______________________________________
57. What is your ethnicity? (Mark all that apply.)
Hispanic or Latino
Middle Eastern or North African
Other (please specify): ________________________________________
58. What is your gender? (Mark all that apply.)
Male
Female
Transgender
Other (please specify): ________________________________________
Thank you for taking the time to complete this form and helping to improve NHTTAC activities.
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 6 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.
| File Type | application/pdf |
| Author | Field, Michael |
| File Modified | 2019-11-01 |
| File Created | 2019-11-01 |