OMB Control Number: 0970-0401
Expiration Date: 5/31/2021
PMFO Workshop Feedback Survey
Thank you for participating in the [workshop name/intensive event name]. To help ensure the quality of our services, we ask that you complete the following feedback survey. This brief survey is voluntary, and all feedback will be kept private. To further protect your privacy please refrain from including personally identifiable information in open-ended responses.
Please note that some survey items use a multi-point scale. If you are taking the survey on your phone, you may have to scroll down to see the entire scale. When finished, click the "Submit" button at the bottom of the final page to record your responses. You are free to move throughout the survey and change responses until you click "Submit".
THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)
Public reporting burden for this collection of information is estimated to average approximately 5 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.
An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number.
Overall Workshop Feedback
Q1. What is your primary organizational affiliation?
Head Start / Early Head Start grantee
HS / EHS Childcare Partnership grantee
Child care program (non-Head Start)
Federal / Regional Office
Regional Training / Technical Assistance Network
Other ______________________
Q2. What is your primary role within your organization?
Director
Assistant Director / Associate Director
CFO
Board of Directors / Tribal Council
Manager / Coordinator
Family Advocate / Family Services
Policy Council
Federal / Regional Office Staff (specify title) __________________
Regional Training / Technical Assistance Network Staff (specify title) ____________________
Other ____________________
Q3. How many years have you served in this role?
Less than 1 year
1 to 4 years
5 to 9 years
10 or more years
For the following questions, please think about the [name of workshop/intensive event] in its entirety.
Q4. Please select your level of agreement with the following statements about the training:
|
Strongly agree |
Agree |
Disagree |
Strongly disagree |
Don't know / NA |
The training deepened my knowledge of the topics presented. |
|
|
|
|
|
The content of the training was relevant to my work. |
|
|
|
|
|
The information presented was respectful, non-judgmental, and supportive of diverse populations (i.e., free from stereotypes or bias). |
|
|
|
|
|
The content of the training was inclusive of diverse cultural experiences and backgrounds. |
|
|
|
|
|
The training provided me with knowledge of available resources. |
|
|
|
|
|
I learned something during this training that I plan to use in my work. |
|
|
|
|
|
I plan to share the information received during the training with others. |
|
|
|
|
|
Q5. Please let us know whether you found the content presented during the [insert event name] to be too simple, too advanced, or just about right.
Far too advanced
A bit too advanced
About right
A bit too simple
Far too simple
Q6. Before this training, my knowledge of the content/topics addressed can be best described as…
No knowledge
Minimal knowledge
Moderate knowledge
A high level of knowledge
Q7. After this training, my knowledge of the content/topics addressed can be best described as…
No knowledge
Minimal knowledge
Moderate knowledge
A high level of knowledge
Q8. Please identify one concept or skill you learned during the [insert event name] that you will use in your work.
Q9. Is there anything that you expected to learn during the [insert event name] that you didn’t?
Q10. Please select your level of agreement with the following statements about the presenters and materials of the [insert event name]:
|
Strongly agree |
Agree |
Disagree |
Strongly disagree |
Don't know / NA |
The presenter(s) were knowledgeable in the content area(s). |
|
|
|
|
|
*The presenter(s) were responsive to participants’ questions. |
|
|
|
|
|
*The presenter(s) were effective in engaging participants. |
|
|
|
|
|
*I found the presentation materials easy to read and understand. |
|
|
|
|
|
*The resources provided during the training were relevant and useful for my work. |
|
|
|
|
|
The presenter(s) conveyed important constructs effectively. |
|
|
|
|
|
* Two of these four items will be randomly chosen for each participant using our survey program’s random question generator.
Q11. I was satisfied with the overall quality of this training.
Strongly agree
Agree
Disagree
Strongly disagree
Q12. [For those who disagree or strongly disagree] What about the training detracted from your satisfaction?
Q13. Would you recommend this training to your peers?
Yes
Yes, with reservations
No
Q14. How could this training be more inclusive of or responsive to diverse audiences?
Q15. Other comments:
Activity/Resources Specific Feedback
Reviewer’s Note: The following stock question blocks may be customized and used to provide feedback regarding the individual activities/resources offered during the workshop/intensive event on an as-needed basis.
The following questions relate more specifically to the activities covered / resources used at this workshop/intensive event:
Activity/Resource 1: [insert name of activity/resource]
Activity/Resource 2: [insert name of activity/resource]
Activity/Resource 3: [insert name of activity/resource]
Q1. Activity/Resource 1: [insert name of activity/resource 1]. I was satisfied with this activity/resource.
Strongly agree
Agree
Disagree
Strongly disagree
Don’t know / Not applicable
Q2. Please identify one concept or skill you learned related to this activity/resource that you will use in your work.
Q3. Activity/Resource 2: [insert name of activity/resource 2]. I was satisfied with this activity/resource.
Strongly agree
Agree
Disagree
Strongly disagree
Don’t know / Not applicable
Q4. Please identify one concept or skill you learned related to this activity/resource that you will use in your work.
Q5. Activity/Resource 3: [insert name of activity/resource 3]. I was satisfied with this activity/resource.
Strongly agree
Agree
Disagree
Strongly disagree
Don’t know / Not applicable
Q6. Please identify one concept or skill you learned related to this activity/resource that you will use in your work.
PMFO Workshop Feedback Survey
7.16.2020 Page
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | PMFO Panel Distribution Survey*NEW 5.12* |
Author | Jett, Catherine |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |