Form 1 TAW 2020 Survey screenshots

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery (NCI)

TAW 2020 Evaluation Survey Screenshots_rev

Technical Assistance Workshop (TAW) – Participant Feedback (NCI)

OMB: 0925-0642

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PACHE TAW Survey – Screenshots
Overview
This document contains screenshots of each page within the PACHE Technical Assistance Workshop (TAW) survey. The
page header containing the survey title is repeated on each page. To save space in this document, the header is omitted
from Figures 2 – 14. The OMB number and expiration date are displayed at the top of the survey launch page (Figure 1),
before the respondent accesses the first question in the survey.

Page Screenshots

Figure 1. Survey launch page, with OMB information.

Figure 2. Introductory information element

Figure 3. Career Level Question

Figure 4. Grant Mechanism Question

Figure 5. Feedback Survey Question 1

Figure 6. Feedback Survey Question 2

Figure 7. Feedback Survey Question 3

Figure 8. Feedback Survey Question 4

Figure 9. Feedback Survey Question 5

Figure 10. Feedback Survey Question 6

Figure 11. Feedback Survey Question 7

Figure 12. Feedback Survey Question 8

Figure 13. Feedback Survey Question 9

Figure 14. Survey Complete Screen


File Typeapplication/pdf
AuthorBenjamin Neal
File Modified2020-07-01
File Created2020-07-01

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