Feedback related to PDG B-5 Technical Assistance Center Tailored Technical Assistance

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

Tailored TA Survey_11.25.20 (FINALpbs)

Feedback related to PDG B-5 Technical Assistance Center Tailored Technical Assistance

OMB: 0970-0401

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Tailored TA Survey

Your thoughts and suggestions are important for improving the PDG B-5 TA Center services. Your individual responses will be kept private. Only aggregate information will be shared. This survey should take you about 5 minutes to complete. Thank you for taking the time to complete this feedback form!   

  1. In the last four months, how often and how much did you participate in the PDG B-5 TA calls with your state?

  • I was very involved (e.g., attended most or all calls)

  • I was somewhat involved (e.g., attended more than half of the calls)

  • I was minimally involved (e.g. attended fewer than half of the calls)

  • I did not participate [Skip to end]



  1. What is your role in your state’s PDG B-5 grant?

_____________________________________________________________________



  1. Rate the quality of the information (and resources, if applicable) provided to your state.

  • Excellent

  • Good

  • Poor

  • Very poor


  1. Rate the relevance of the information (and resources, if applicable) provided to your state.

  • Very relevant

  • Relevant

  • Not relevant

  • Not relevant at all





  1. Rate the usefulness of the information (and resources, if applicable) provided to your state.

  • Very useful

  • Useful

  • Not useful

  • Not at all useful



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

6a. The TA provider(s) supported my active participation in TA for my state.

  • Strongly agree

  • Agree

  • Disagree

  • Strongly disagree



6b. The TA provider(s) was/were readily available to address my state’s TA needs.

  • Strongly agree

  • Agree

  • Disagree

  • Strongly disagree



6c. The TA provider(s) communicated openly, regularly, and consistently.

  • Strongly agree

  • Agree

  • Disagree

  • Strongly disagree



6d. Information sharing and discussions were free from bias and inclusive of diverse and historically underrepresented groups.

  • Strongly agree

  • Agree

  • Disagree

  • Strongly disagree



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. Are there any aspects of the TA that were particularly useful? If so, please describe.

_________________________________________________________________

  1. Are there any aspects of the TA that can be improved? If so, please describe.

_________________________________________________________________

  1. Do you have any additional comments or suggestions?

_______________________________________________________________

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

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