SOAR Online Participant Feedback Short Form

SOAR ONLINE

OMB Control Number: 0970-0519
Expiration Date: 10/31/2021

PARTICIPANT FEEDBACK

Short 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].
PRE-TRAINING EVALUATION QUESTIONS:
Please provide the information below to create an anonymous ID:
______
Birth Month
(insert just the month
for your date of birth:
08 for August)

______
First letter of first name
(example: S for Sara)

______
First letter of your middle name
(example: M for Maria)

[Note: Not all objectives listed below will be included in the evaluation form. Specific objectives will be selected from this list
and tailored to each training.]
Please rate your level of confidence in your ability to:

Overall Objectives

Very Low

Low

High

Very High

1.

1

2

3

4

2.

1

2

3

4

3.

1

2

3

4

4.

1

2

3

4

5.

1

2

3

4

6.

1

2

3

4

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 less than 1 minute. 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.

SOAR ONLINE

OMB Control Number: 0970-0519
Expiration Date: 10/31/2021

PARTICIPANT FEEDBACK

Short Form

POST-TRAINING QUESTIONS:
Please provide the information below to create an anonymous ID:
______
Birth Month
(insert just the month
for your date of birth:
08 for August)

______
First letter of first name
(example: S for Sara)

______
First letter of your middle name
(example: M for Maria)

[Note: Objectives selected for the posttest will mirror the objectives selected for the pretest].
Please rate your level of confidence in your ability to:

Overall Objectives

Very Low

Low

High

Very High

1.

1

2

3

4

2.

1

2

3

4

3.

1

2

3

4

4.

1

2

3

4

5.

1

2

3

4

6.

7.

Please rate the overall quality of this training.
1

2

3

4

Poor

Fair

Good

Excellent

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

8.

Is your organization responsible for working with people who are currently being trafficked or have been trafficked?
□ Yes

9.

OTIP grantee
Self-employed
Survivor-led organization
Tribal government
Union/worker advocacy organization
Victim service provider
Other (please specify): _____________________

□ No

Which of the following best describes your professional capacity or types of services you provide? (Mark all that apply.)

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 less than 1 minute. 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.

SOAR ONLINE

OMB Control Number: 0970-0519
Expiration Date: 10/31/2021

PARTICIPANT FEEDBACK

Short Form

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
Violence prevention (e.g., child abuse and neglect,
elder abuse, domestic violence, sexual violence,
youth violence)
Other (please specify):
_______________________________

10. 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

11. 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

□

□ More than 10 years

6–10 years

12. 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

13. 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

14. 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

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 less than 1 minute. 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.

SOAR ONLINE

OMB Control Number: 0970-0519
Expiration Date: 10/31/2021

PARTICIPANT FEEDBACK

Short Form

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): __________________

15. What is your race? (Mark all that apply.)







American Indian or Alaska Native
Asian
Black or African American
Native Hawaii or other Pacific Islander
White
Other (please specify): _______________________________________

16. What is your ethnicity? (Mark all that apply.)




Hispanic or Latino
Middle Eastern or North African
Other (please specify): ________________________________________

17. 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 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 less than 1 minute. 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.