Follow-up Evaluation form

FOLLOW-UP T/TA
FEEDBACK

OMB Control Number: ####-####
Expiration Date: ##/##/####

Evaluation

The Office for Victims of Crime Tribal Financial Management Center (OVC TFMC) relies on your feedback to better serve you
and the tribal victim services field. We will protect the privacy of your information in accordance with the Federal Privacy Act,
and we will protect the confidentiality of your responses using procedures we have in place, including reporting all information in
aggregate to avoid identifying information. If you have any questions about this evaluation, please contact
[email protected]
Please provide the information below to create an anonymous ID:
______

______

______

Birth Month
(insert just the month
for your date of birth,
example: 08 for August)

First letter of first name
(example: S for Sara)

First letter of your middle name
(example: M for Maria)

T/TA: _____________________________________________________________ DATE(S): ____________________
CONSULTANTS: _________________________________________________________________________________
TFMC COORDINATOR: ___________________________________________________________________________

Was the training or technical assistance (T/TA) provided

□ In Person

□ Virtually

Please indicate the extent to which you agree or disagree with each statement.

OUTCOMES
1.
2.
3.
4.
5.

Strongly
Disagree

Disagree

Agree

Strongly
Agree

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

1

2

3

4

Strongly
Disagree

Disagree

Agree

Strongly
Agree

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

As a result of this T/TA, I am better able to adhere to the DOJ
award requirements.
As a result of this T/TA, I have a deeper understanding of
effective financial grants management.
As a result of this T/TA, I [insert specific objective related to the
outcomes of their specific T/TA]
As a result of this T/TA, I [insert specific objective related to the
outcomes of their specific T/TA]
As a result of this T/TA, I [insert specific objective related to the
outcomes of their specific T/TA]

Please indicate the extent to which you agree or disagree with each statement.

T/TA ACTIVITY: ________________________
6. [insert T/TA activity objective or follow-up question].
7. [insert T/TA activity objective or follow-up question].
8. [insert T/TA activity objective or follow-up question].
9. [insert T/TA activity objective or follow-up question].
10. [insert T/TA activity objective or follow-up question]
11. [insert T/TA activity objective or follow-up question].

12. How satisfied are you with the support you’ve received from TFMC after the T/TA?
Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 4 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the TFMC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.

FOLLOW-UP T/TA
FEEDBACK

OMB Control Number: ####-####
Expiration Date: ##/##/####

Evaluation

1
Very Dissatisfied

2
Dissatisfied

3
Satisfied

4
Very Satisfied
□ Yes

13. Would you recommend TFMC for training or technical assistance?

□ No

14. Have you done any of the following as a result of participating in this T/TA?

□
□
□
□
□
□
□
□
□
□

Share material with staff and colleagues
Network with other T/TA (training and technical assistance) participants
Refer colleagues to other OVC TFMC events/resources
Pursue additional professional development related to financial management
Train/educate others in content/skills learned
Update financial procedures
Implement new financial procedures
Develop/strengthen use of technology to improve financial infrastructure
Other(s): _____________________________________
I will not use/incorporate this information

Please explain in detail any of these activities: ______________________________________________________________
____________________________________________________________________________________________________
15. Looking back, how prepared were you to take steps toward improving your organization’s financial infrastructure after the
T/TA?
1
Not At All Prepared

2
Somewhat Prepared

3
Mostly Prepared

4
Completely Prepared

16. Looking back, what aspects of the session were most helpful to you and why?
_____________________________________________________________________________________________________
_____________________________________________________________________________________________________
17. What could have been done differently to make the session more useful to you now?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
18. Do you have any other comments or suggestions?
____________________________________________________________________________________________________
____________________________________________________________________________________________________
19. Which of the following best describes your organization?
□ Tribal government (e.g., governance, administration, support personnel)
□ Tribal program
□ Tribal consortium
□ Nonprofit organization
□ Other (please specify): _______________________________
20. What is your organization’s geographical service area?
□ Reservation
□ Urban

□ Suburban
□ Rural

Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 4 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the TFMC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.

FOLLOW-UP T/TA
FEEDBACK

OMB Control Number: ####-####
Expiration Date: ##/##/####

Evaluation

□

Frontier

21. What is your role in your organization?

□
□
□

Program
Finance
Grants/contracts

□
□

Tribal leader
Other (please specify): ______________

Thank you for taking the time to complete this form and helping to improve OVC TFMC activities.

Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 4 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the TFMC Evaluation Team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.