Feedback Related to PDG B-5 Technical Assistance Center Webinars and Workshops

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

WebinarWorkshop Survey_11.25.20 (FINAL pbs)

Feedback Related to PDG B-5 Technical Assistance Center Webinars and Workshops

OMB: 0970-0401

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Webinar or Workshop Survey

Thank you for attending [Webinar/Workshop Title]. Your thoughts and suggestions are important to improving our [webinars/workshops]. Your individual responses will be kept private. Only aggregate information will be shared. This survey will take about 5 minutes to complete.  Thank you for taking the time to help us assess our technical assistance!  

Introduction

  1. Did you attend most or all of [Webinar/workshop title]?

  • Yes

  • No [If no, skip to end]



Display if registration information does not capture role or state 

  1. Your role (select one)

  • State staff

  • Partner organization supporting state work

  • Federal Program Officer

  • PDG B-5 Center TA provider or staff

  • Other:

Please specify your role:

______________________________________________________________________



  1. Select your state:

[Select from list of U.S. states and territories]









Assessment of the [Workshop/Webinar]

  1. Rate the quality of the information (and resources, if applicable) provided in the [webinar/workshop].

  • Excellent

  • Good

  • Poor

  • Very poor


  1. Rate the relevance of the information (and resources, if applicable) to your state provided in the [webinar/workshop]

  • Very relevant

  • Somewhat relevant

  • Not relevant

  • Not at all relevant


  1. Rate the usefulness of the information (and resources, if applicable) provided in the [webinar/workshop].

  • Very relevant

  • Somewhat relevant

  • Not relevant

  • Not at all relevant



  1. Was the information presented too simple, too advanced, or just about right?

  • Far too advanced

  • A bit too advanced

  • About right

  • A bit too simple

  • Far too simple



  1. Indicate whether you agree or disagree with the following statements.

8a. Presentations and discussions were free from bias and inclusive of diverse and historically underrepresented groups.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree



As a result of participating in [webinar/workshop name], I …

8b. [Insert Intended Outcome #1, e.g, have a better understanding of logic models]

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree



[Repeat for each outcome.]



We appreciate any additional comments or suggestions for improvement. If you do not want to provide additional feedback, click “Next” and submit your responses. 



  1. Were there any aspects of the [webinar/workshop] that were particularly useful? If so, please describe.

_______________________________________________________________



  1. Were there any aspects of the [webinar/workshop] that that could have been improved? If so, please describe.

_______________________________________________________________



  1. Do you have any other comments or suggestions?

____________________________________________________________


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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSara Thayer
File Modified0000-00-00
File Created2021-01-13

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