Proposed Questions for the CBLCC Participant Satisfaction Survey - 2-17-21

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

Proposed Questions for the CBLCC Participant Satisfaction Survey - 2-17-21

OMB: 0970-0401

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Participant Satisfaction Survey Questions for CBLCC-Organized Events




We welcome your feedback!

Please take 30 seconds to help us make CBLCC-hosted events even more useful.



Overall, how satisfied are you with the webinar/workshop?

  • Very satisfied

  • Satisfied

  • Neither satisfied nor dissatisfied

  • Dissatisfied

  • Strongly dissatisfied

The information presented will help you improve services to families and children.

  • Strongly agree

  • Agree

  • Neither disagree nor agree

  • Disagree

  • Strongly disagree

How would you rate your prior knowledge of the subject?

  • Very high

  • High

  • Moderate

  • Low

  • Very low

How much has your understanding of the subject increased?

  • Increased significantly

  • Increased moderately

  • Increased slightly

  • Did not increase

How would you rate the efficacy of the platform and presentation format?

  • Highly effective

  • Moderately effective

  • Slightly effective

  • Not effective

I will share the information I learned with my colleagues.

  • Strongly agree

  • Agree

  • Neither disagree nor agree

  • Disagree

  • Strongly disagree





PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information collection is assess participant satisfaction with peer learning opportunities, meetings, and other events organized by the Children’s Bureau Learning & Coordination Center (CBLCC). The information collected will enable the contractor, Kauffman & Associates, Inc., to evaluate the utility and effectiveness of its peer learning opportunities, meetings, and other events and to improve future events. Public reporting burden for this collection of information is estimated to average 30 seconds per respondent. This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0401 and the expiration date is 05/31/2021. If you have any comments on this collection of information, please contact Sharon McKinley at [email protected].



File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorJean Swift
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File Created2021-05-10

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