Form 1 OFA Convening Individual Assessment

Individual Session Assessment Card

O MB Control No: 0970-0401

Expiration date: 5/31/2021

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)

Public reporting burden for this collection of information is estimated to average .08 hours 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.

In order to help OFA better serve the field, we are reaching out to you and other respondents to obtain your feedback. Your responses to this assessment will increase the capacity of OFA to provide responsive technical assistance to stakeholders. The confidentiality of the information you provide in this survey is guaranteed. Answers to these questions will only be reported after aggregating all responses, and the results will never identify you as an individual. Your participation is completely voluntary.

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree	Not Applicable
1. The session increased my knowledge.	1	2	3	4	5	NA
2. The session increased my practical skills.	1	2	3	4	5	NA
3. I will be able to apply what I learned in my work.	1	2	3	4	5	NA
4. The material was appropriate for my level of experience and knowledge.	1	2	3	4	5	NA
5. Overall, the presenter(s) enhanced my learning of the information provided in the session.	1	2	3	4	5	NA
6. The presenter(s) effectively communicated their expertise.	1	2	3	4	5	NA
7. I am satisfied with the clarity of the information shared.	1	2	3	4	5	NA
8. The session was applicable/relevant to my program’s needs.	1	2	3	4	5	NA
9. The material provided was relevant to my program’s needs.	1	2	3	4	5	NA
10. I am satisfied with the overall quality of the session.	1	2	3	4	5	NA

Session Comments/Feedback: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________­­­­­­_______

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