SOAR Conference Feedback Form

NHTTAC Consultant and Evaluation Package

25 - SOAR Conference Feedback

SOAR Conference Feedback Form

OMB: 0970-0519

Document [pdf]
Download: pdf | pdf
SOAR CONFERENCE
TRAINING FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

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].
CONFERENCE:

TRAINING:

DATE(S):
PRESENTER(S):

PRE-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: 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

Very Low

Low

High

Very High

STOP Objectives
6.



1

2

3

4

7.



1

2

3

4

8.



1

2

3

4

9.



1

2

3

4

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public
reporting burden for this collection of information is estimated to average 0.2 hours per respondent, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the
requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments
on this collection of information, please contact the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax,
VA 22031.

SOAR CONFERENCE
TRAINING FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form
10. 

1

2

3

4

11. 

1

2

3

4

Very Low

Low

High

Very High

12. 

1

2

3

4

13. 

1

2

3

4

14. 

1

2

3

4

Very Low

Low

High

Very High

15. 

1

2

3

4

16. 

1

2

3

4

17. 

1

2

3

4

Very Low

Low

High

Very High

18. 

1

2

3

4

19. 

1

2

3

4

20. 

1

2

3

4

21. 

1

2

3

4

22. 

1

2

3

4

23. 

1

2

3

4

OBSERVE Objectives

ASK Objectives

RESPOND Objectives

24. 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

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public
reporting burden for this collection of information is estimated to average 0.2 hours per respondent, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the
requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments
on this collection of information, please contact the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax,
VA 22031.

SOAR CONFERENCE
TRAINING FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

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 post-training will mirror the objectives selected for the pre-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

Very Low

Low

High

Very High

STOP Objectives
6.



1

2

3

4

7.



1

2

3

4

8.



1

2

3

4

9.



1

2

3

4

10. 

1

2

3

4

11. 

1

2

3

4

Very Low

Low

High

Very High

12. 

1

2

3

4

13. 

1

2

3

4

14. 

1

2

3

4

Very Low

Low

High

Very High

15. 

1

2

3

4

16. 

1

2

3

4

OBSERVE Objectives

ASK Objectives

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public
reporting burden for this collection of information is estimated to average 0.2 hours per respondent, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the
requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments
on this collection of information, please contact the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax,
VA 22031.

SOAR CONFERENCE
TRAINING FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form

17. 

1

2

3

4

Very Low

Low

High

Very High

18. 

1

2

3

4

19. 

1

2

3

4

20. 

1

2

3

4

21. 

1

2

3

4

22. 

1

2

3

4

23. 

1

2

3

4

RESPOND Objectives

□

24. Are you applying for continuing education credits for completing this training?

Yes

□

No

If yes, provide your first and last name and email address:

Please indicate the extent to which you agree or disagree with the following statements:
Strongly
Disagree

Disagree

Agree

Strongly
Agree

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

Strongly
Disagree

Disagree

Agree

Strongly
Agree

33. I am confident that I will be able to use the
knowledge and skills I learned during the SOAR
training when I return to my job.

1

2

3

4

34. The training met my educational needs.

1

2

3

4

Presenter 1:
25. The presenter’s knowledge and expertise were
appropriate for this session.
26. The presenter delivered the content of the session
effectively.
27. The presenter responded positively to questions and
comments.
28. The presenter created a respectful environment for
participants.

Presenter 1:
29. The presenter’s knowledge and expertise were
appropriate for this session.
30. The presenter delivered the content of the session
effectively.
31. The presenter responded positively to questions and
comments.
32. The presenter created a respectful environment for
participants.

Conference Session Feedback

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public
reporting burden for this collection of information is estimated to average 0.2 hours per respondent, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the
requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments
on this collection of information, please contact the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax,
VA 22031.

SOAR CONFERENCE
TRAINING FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form
35. The training met my professional needs.

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

40. I learned a great deal as a result of this training.

1

2

3

4

41. The training was survivor informed.

1

2

3

4

42. The training was trauma informed.

1

2

3

4

43. The training was based on current evidence-based
research or promising practices.

1

2

3

4

44. The pace of this workshop was appropriate.

1

2

3

4

45. The workshop was a good way for me to learn the
content.

1

2

3

4

36. The educational materials provided during this
training were useful.
37. The activity provided appropriate and effective
opportunities for active learning (case studies,
discussion, Q&A, etc.).
38. The training was grounded in a multidisciplinary
approach to addressing human trafficking.
39. The training reflected a public health approach to
addressing human trafficking.

46. Please rate the overall quality of this training.
1

2

3

4

Poor

Fair

Good

Excellent

47. As a result of participating in this training, 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
Strengthen evaluation or needs assessment
activities
Improve identification and reporting methods for
trafficking
Take additional training on human trafficking
Other (please specify):

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public
reporting burden for this collection of information is estimated to average 0.2 hours per respondent, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the
requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments
on this collection of information, please contact the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax,
VA 22031.

SOAR CONFERENCE
TRAINING FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form

48. 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.)
multidisciplinary team
 Lack of senior leadership support
 Lack of frontline support and accountability
 Variation in mission and regulatory frameworks
 Continuous turnover
when partnering with other organizations
 Shortages of key personnel
 Lack of information and/or data sharing
 Competing priorities
among organizations
 Inaccessible research and/or information
 Lack of time to implement changes
 Lack of urgency
 Lack of training for staff in how to
 Lack of shared responsibility across organizational
implement change
collaboration
 Other (please explain):
 Difficulty in establishing and/or maintaining a
49. Would you recommend SOAR training to others?

□

Yes

□

No

50. 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):

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

Yes

□

No

52. 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,
 Legal (e.g., immigration, civil and/or
psychiatrist, mental health/substance use
rights-based attorney and/or paralegal,
counselor)
clinic)
 Child welfare (e.g., state agency staff, child
 Public health (e.g., licensure board, health
welfare contractor, nonprofit personnel)
department staff, health care executive,
 Corrections-based services (e.g., parole, probation)
community health workers)
 Criminal justice (e.g., law enforcement,
 Social worker (e.g., case
prosecutor, probation, court, forensic interviewer)
manager, school counselor,
supervisor, administrator)
 Educator (e.g., teacher, professor,
school administrator)
 Survivor empowerment, mentoring, or peer to peer
 Professional capacity/types of services, continued
 Violence prevention (e.g., Child abuse
 Health care (e.g., physician, physician
and neglect; elder abuse; domestic
assistant, nurse practitioner, dentist, nurse,
violence, sexual violence, youth violence)
pharmacist)
 Other (please specify):
 Housing (e.g., case worker, shelter
director, public housing authority
agencies)
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public
reporting burden for this collection of information is estimated to average 0.2 hours per respondent, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the
requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments
on this collection of information, please contact the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax,
VA 22031.

SOAR CONFERENCE
TRAINING FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form

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 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

55. Which of the following best describes your primary role in your current position?
□

Direct delivery/Frontline staff

□ Consultant/Trainer

□

Administration

□

Management

□ Volunteer

□

Peer educator

□

Other (please specify):

56. 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

57. 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):

58. Do you have any comments or suggestions for future SOAR-related trainings?

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public
reporting burden for this collection of information is estimated to average 0.2 hours per respondent, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the
requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments
on this collection of information, please contact the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax,
VA 22031.

SOAR CONFERENCE
TRAINING FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form

Thank you for taking the time to complete this form and helping to improve SOAR activities.

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public
reporting burden for this collection of information is estimated to average 0.2 hours per respondent, including the time for reviewing
instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of
information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the
requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments
on this collection of information, please contact the NHTTAC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax,
VA 22031.


File Typeapplication/pdf
File Title25 - SOAR Conference Feedback.docx
AuthorField, Michael
File Modified2020-03-20
File Created2020-03-20

© 2024 OMB.report | Privacy Policy