Form A All Grantee Meeting Feedback

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

Attachment A - All Grantee Meeting Feedback Form

Maternal, Infant, and Early Childhood Home Visiting Program All Grantee Meeting Feedback Forms

OMB: 0915-0212

Document [docx]
Download: docx | pdf

OMB Control No. 0915-0212

Expiration Date: 07/31/2021


2019 MIECHV All Grantee - Meeting Feedback Form

February 26 – 28, 2019


Public Burden Statement: 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. The OMB control number for this project is 0915-0212. Public reporting burden for this collection of information is estimated to average .08 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 18N136B, Rockville, Maryland, 20857.

Shape1

Please select your affiliation



MIECHV State Region or Territory

Tribal Home Visiting Program

Other


Please select the role that most closely aligns with your responsibilities related to the MIECHV project.


Grantee Lead/Director/Coordinator

Grantee Data/Evaluation Staff

Grantee Program Staff/Consultant

Grantee Grants Management/Fiscal Staff

Federal Staff/Partner

Model Developer

National TA Provider

ECCS Coordinator/Staff


Home Visitor

Speaker

Other


Shape24

Please pick the4 sessions that you found most helpful

Length of Meeting:

Shape27


Rating scale for the following close-ended questions (will be a drop down)


Not at all

Very little

Somewhat

Quite a bit

Very much

N/A

Shape34

Relevance: Please indicate the degree to which the AGM

Was relevant to your work

Provided resources and strategies to support your home visiting/early childhood related efforts

Enhanced your existing knowledge and/or skills

Future Action: Please indicate to what extent you plan to use what you learned or the resources you obtained.

Share knowledge or skills with various stakeholders and other team members

Make changes in policies, guidelines, procedures, or interagency agreements/contracts

Make changes in the service delivery system for families

Pursue additional technical assistance related to a topic featured during the AGM

Learn more about a topic featured during the AGM

Quality: Please indicate your overall ratings for the following:

Usefulness of the AGM

Appropriate balance between large group sessions and breakout sessions

Felt there was sufficient time allocated for joint agenda sessions, activities and networking (tribal, state and territory together)

Felt there was sufficient time allocated for individual program agendas (either tribal or state and territory separate)

Speakers/presenters were knowledgeable

Networking Opportunities: Please rate the effectiveness of the networking opportunities included throughout the meeting

Grantee Sharing Station Session afternoon of Day 1

Affinity lunches on Day 3

DC Night Tour

Other

Meeting Components: Please indicate your overall ratings for the following:

Comfortable and appropriate meeting space

Comfortable and clean sleeping accommodations at conference hotel

Responsiveness of registration and meeting coordination staff

Helpfulness and usability of the meeting App

Ability to participate in individual TA sessions with respective TA providers.

Helpfulness of the materials made available in advance of the meeting (meeting information, know before you go email, etc.)


What was the most helpful aspect of the AGM?

What improvements can be made?

Other comments:

Shape61




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorMaria Gehl
File Modified0000-00-00
File Created2021-01-13

© 2024 OMB.report | Privacy Policy