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pdfOMB Control Number: 0970-0519
Expiration Date: 10/31/2021
SOAR SPECIALIZED TRAINING
AND TECHNICAL ASSISTANCE
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].
DATE(S):
CONSULTANT(S)/FACILITATOR(S):
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 rate the extent to which you agree or disagree that the SOAR for Communities training will help your
community achieve the following objectives:
LEARNING OBJECTIVES
Strongly Disagree
Disagree
Agree
Strongly Agree
1.
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2.
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3.
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4.
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Please indicate the extent to which you agree or disagree with the following statements about the overall training:
OVERALL TRAINING
5.
6.
The training reflected a public health approach to addressing human
trafficking.
The training helped me identify potential language and cultural
barriers my community might face in responding to human
trafficking.
Strongly Disagree
Disagree
Agree
Strongly Agree
1
2
3
4
1
2
3
4
7.
The training was trauma informed.
1
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4
8.
The training was survivor informed.
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9.
The training was grounded in a multidisciplinary approach to
addressing human trafficking.
10. The training included evidence-based research or promising
practices.
11. The training will positively impact my community’s response to
human trafficking.
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 9 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
SOAR SPECIALIZED TRAINING
AND TECHNICAL ASSISTANCE
FEEDBACK
Form
12. The training met my educational needs.
1
2
3
4
13. The training met my professional needs.
1
2
3
4
Strongly Disagree
Disagree
Agree
Strongly Agree
1
2
3
4
1
2
3
4
1
2
3
4
17. This session was trauma informed.
1
2
3
4
18. This session was survivor informed.
1
2
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Strongly Disagree
Disagree
Agree
Strongly Agree
25. This session helped expand my understanding of all types of human
trafficking.
1
2
3
4
26. This session helped expand my ability to identify at-risk populations.
1
2
3
4
1
2
3
4
1
2
3
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1
2
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1
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1
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Strongly Disagree
Disagree
Agree
Strongly Agree
1
2
3
4
Please indicate the extent to which you agree or disagree with the following statements:
SESSION 1: WHAT IS A PUBLIC HEALTH
APPROACH?
14. This session helped me understand a public health approach to
human trafficking.
15. I feel confident in my ability to apply what I learned about a public
health approach to trafficking in my daily work.
16. Learning about a public health approach to trafficking will positively
impact my community’s ability to serve people who are currently
being trafficked, at risk of trafficking, or have been trafficked.
19. This session helped me define a trauma-informed and survivorinformed response.
20. This session helped me define a cultural and linguistically
appropriate response.
21. This session was grounded in a multidisciplinary approach to
addressing human trafficking.
22. I learned practical ways to apply a trauma-informed framework in
my daily work through this session.
23. This session improved my knowledge in responding to a person who
is currently being trafficked, at risk of trafficking, or has been
trafficked.
24. I will be able to apply what I learned about trauma in my daily work.
SESSION 2: STOP
27. This session helped me identify populations in my community
vulnerable to trafficking.
28. This session helped increase my awareness of instances of
trafficking within my community.
29. I have identified the major challenges my community might face in
understanding human trafficking.
30. I have drafted potential action items and solutions to help my
community mitigate challenges in understanding human trafficking.
31. I will be able to apply what I learned about understanding human
trafficking in my daily work.
SESSION 3: OBSERVE
32. This session helped me recognize warning signs of human
trafficking.
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 9 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
SOAR SPECIALIZED TRAINING
AND TECHNICAL ASSISTANCE
FEEDBACK
Form
33. This session increased my knowledge about the root causes of
trafficking.
34. This session helped me discover what my community is doing to
identify human trafficking.
35. This session helped me identify the major challenges my community
might face in identifying human trafficking.
36. This session helped me identify potential solutions to help my
community mitigate challenges in identifying human trafficking.
37. I will be able to apply what I learned about identifying human
trafficking to my daily work.
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
Strongly Disagree
Disagree
Agree
Strongly Agree
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
Strongly Disagree
Disagree
Agree
Strongly Agree
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
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1
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1
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Strongly Disagree
Disagree
Agree
Strongly Agree
1
2
3
4
1
2
3
4
52. The facilitator responded positively to questions and comments.
1
2
3
4
53. The facilitator created a respectful environment for participants.
1
2
3
4
54. The facilitator encouraged and initiated helpful discussions.
1
2
3
4
SESSION 4: ASK
38. This session increased my knowledge about identifying all types of
trafficking.
39. This session helped identify existing resources and tools used to
screen for human trafficking.
40. This session helped me identify gaps in how my community
identifies a person who is being trafficked.
41. This session helped me find assets in my community to improve how
a person who is currently being trafficked, at risk of trafficking, or
has been trafficked is identified.
42. I will be able to apply what I learned about screening for human
trafficking to my daily work.
SESSION 5: RESPOND
43. This session will lead to my community to expand into more traumainformed and survivor-led practices.
44. This session helped me identify areas to improve my community’s
response to the intermediate needs of a person who is currently being
trafficked, at risk of trafficking, or has been trafficked.
45. This session helped me identify areas to improve my community’s
response to the long-term needs of a person who is currently being
trafficked, at risk of trafficking, or has been trafficked.
46. This session helped me identify how my organization can help
improve my community’s response to human trafficking.
47. This session helped my community develop and/or strengthen a
comprehensive response to human trafficking.
48. This session helped me identify necessary partners to implement an
improved community response to human trafficking.
49. I will be able to apply what I learned about responding to human
trafficking in my daily work.
Please indicate the extent to which you agree or disagree with the following statements:
FACILITATOR 1:
50. The facilitator’s knowledge and expertise were appropriate for the
training.
51. The facilitator moved through the strategic planning agenda
effectively.
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 9 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
SOAR SPECIALIZED TRAINING
AND TECHNICAL ASSISTANCE
FEEDBACK
Form
FACILITATOR 2:
Strongly Disagree
Disagree
Agree
Strongly Agree
1
2
3
4
1
2
3
4
57. The facilitator responded positively to questions and comments.
1
2
3
4
58. The facilitator created a respectful environment for participants.
1
2
3
4
59. The facilitator encouraged and initiated helpful discussions.
1
2
3
4
Strongly Disagree
Disagree
Agree
Strongly Agree
1
2
3
4
1
2
3
4
62. The facilitator responded positively to questions and comments.
1
2
3
4
63. The facilitator created a respectful environment for participants.
1
2
3
4
64. The facilitator encouraged and initiated helpful discussions.
1
2
3
4
55. The facilitator’s knowledge and expertise were appropriate for the
training.
56. The facilitator moved through the strategic planning agenda
effectively.
FACILITATOR 3:
60. The facilitator’s knowledge and expertise were appropriate for the
training.
61. The facilitator moved through the strategic planning agenda
effectively.
LOGISTICS
Strongly Disagree
Disagree
Agree
Strongly Agree
65. Overall, this was an effective way to support the content and purpose
of the strategic planning process.
1
2
3
4
66. The training was well organized.
1
2
3
4
67. The meeting space and use of technology provided a good learning
environment.
1
2
3
4
68. NHTTAC was responsive to my questions and needs.
1
2
3
4
69. Following the training, what three steps will you take to enhance your community’s response to human
trafficking?
a. __________________________________________________________________________________
b. __________________________________________________________________________________
c. __________________________________________________________________________________
70. How do you plan to engage survivors in implementing your strategic plan?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
71. Following the training, how prepared do you feel to take steps toward addressing human trafficking in your community?
1
2
3
4
Not At All Prepared
Somewhat Prepared
Mostly Prepared
Completely Prepared
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 9 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
SOAR SPECIALIZED TRAINING
AND TECHNICAL ASSISTANCE
FEEDBACK
Form
72. Please rate the overall quality of this training.
1
Poor
2
Fair
3
4
Good
Excellent
73. What could NHTTAC do in the future to enhance your level of preparedness during this type of SOAR T/TA?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
74. What could NHTTAC do in the future to enhance your level of preparedness following this type of SOAR
T/TA?
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
□
75. Would you recommend NHTTAC to others to receive T/TA?
Yes
□
No
76. 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): _____________________
77. Is your organization responsible for working with people who are currently being trafficked or have been trafficked?
□ Yes
□ No
78. Which of the following best describes your professional capacity or types of services you provide? (Mark all that
apply.)
Behavioral health professional (e.g.,
Health care (e.g., physician, physician
psychologist, psychiatrist, mental
assistant, nurse practitioner, dentist, nurse,
health/substance use counselor)
pharmacist)
Child welfare (e.g., state agency staff, child
Housing (e.g., case worker, shelter director,
welfare contractor, nonprofit personnel)
public housing authority agencies)
Corrections-based services (e.g., parole,
Legal (e.g., immigration, civil and/or rightsprobation)
based attorney and/or paralegal, clinic)
Criminal justice (e.g., law enforcement,
Public health (e.g., licensure board, health
prosecutor, probation, court, forensic
department staff, health care executive,
interviewer)
community health workers)
Educator (e.g., teacher, professor, school
Social worker (e.g., case manager, school
administrator)
counselor, supervisor, administrator)
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 9 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
SOAR SPECIALIZED TRAINING
AND TECHNICAL ASSISTANCE
FEEDBACK
Form
Survivor empowerment, mentoring, or peer to
peer
Violence prevention (e.g., child abuse and
neglect, elder abuse, domestic violence, sexual
violence, youth violence)
Other (please specify):
______________________________
79. 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
80. 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
81. Which of the following best describes your primary role in your current position?
□
□
□
Direct delivery/frontline staff
□ Consultant/trainer
Management
□ Volunteer
Other (please specify): ________________
□
□
Administration
Peer educator
82. 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
83. 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
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): __________________
Thank you for taking the time to complete this form and helping to improve SOAR 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 9 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 |