Webinar Particpant Feedback form

OMB # 1121-0277
Date of Expiration: 09/30/14

OJJDP NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER
WEBINAR FEEDBACK FORM
Thank you for participating in the Webinar “” supported by the Office of Juvenile Justice and
Delinquency Prevention (OJJDP) National Training and Technical Assistance Center (NTTAC). To better serve you, we would like to
know how satisfied you are with the quality of the Webinar in which you just participated. Your participation is completely voluntary.
Webinar Title/TA#: pre-printed information
Date(s): pre-printed information
Presenter(s): pre-printed information
Please click the number that best represents your rating for this Webinar for each of the following questions.
1.

2.

Please rate the overall quality of this Webinar?
1

2

3

4

5

Poor

Fair

Good

Very Good

Excellent

Was the Webinar information relevant/useful to your work?
1

2

3

4

Not Useful

Somewhat Useful

Useful

Very Useful

3.

What aspects of the Webinar were most useful and why? (optional)

4.

How do you plan to apply the information from this Webinar in your work? (Please check all that apply.)
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Grant writing/Fundraising
Improve reporting methods
Improve technology/websites
My own professional development
Provide information to clients/families/youth
Program/Practice improvement

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Public awareness/advocacy
Train/educate others (staff/colleagues)
Research
Policy Development
Other: __________________________
I will not be able to apply the information to my work

Please explain how you plan to apply the information:
Please indicate your achievement of the Webinar’s learning objectives.
Learning Objectives
5.
6.
7.

As a result of my attendance, I .
As a result of my attendance, I .
As a result of my attendance, I
(insert/delete objectives as necessary)

Did Not Address
this Objective in
Presentation

Did Not
Achieve this
Objective

Somewhat
Achieved
Achieved this
this
Objective
Objective

1
1

2
2

3
3

4
4

1

2

3

4

OMB # 1121-0277
Date of Expiration: 09/30/14

OJJDP NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER
WEBINAR FEEDBACK FORM
Please indicate the extent to which you agree or disagree with the following statements about the Webinar.
Presenter 1 ______________________________ (add/delete
for each presenter)
8.

Strongly
Disagree
(SD)

Disagree
(D)

Neither
Agree Nor
Disagree
(N)

Agree
(A)

Strongly
Agree
(SA)

1

2

3

4

5

The knowledge and expertise of this presenter were
appropriate for this Webinar.
9. The presenter tailored and delivered the content of the
Webinar effectively.
Presenter 2 ______________________________ (add/delete
for each presenter)
10. The knowledge and expertise of this presenter were
appropriate for this Webinar.
11. The presenter tailored and delivered the content of the
Webinar effectively.

1

2

3

4

5

SD

D

N

A

SA

1

2

3

4

5

1

2

3

4

5

WEBINAR FEEDBACK

SD

D

N

A

SA

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

2

3

4

5

1

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3

4

5

12. The format of the Webinar provided ample opportunity
and encouragement for participants to interact
meaningfully with each other. (optional)
13. The technology provided a good learning environment.
14. The time allotted was appropriate for adequately meeting
the stated goals. (optional)
15. I will share the information I learned during the Webinar
with my colleagues.
16. The presenter(s) managed the Q&A appropriately.
(optional)

17. Was the moderator was well suited for this Webinar topic? (Optional/If Applicable)
 Yes
 No
 If not, please explain:_________________
18. How did you find out about this Webinar?
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OJJDP NTTAC Website
OJJDP NTTAC exhibit, publication, or conference
presentation
OJJDP TTA Provider
JuvJust listserv
Colleague who is familiar with OJJDP NTTAC resources

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
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Search engine such as Google
My OJJDP program manager or other OJJDP staff person
Social media such as Facebook, Twitter or YouTube
Link from another website (please specify):
________________________________________________
Other (please specify): _____________________________

19. What additional assistance do you or your organization need with this topic? (optional)
20. What suggestions do you have for improving Webinars better in the future?
21. Additional comments:

OMB # 1121-0277
Date of Expiration: 09/30/14

OJJDP NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER
WEBINAR FEEDBACK FORM
22. Which of the following best describes the field in which you work? (Please choose only one – drop down list)
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Child and family services (e.g.,
child welfare, adoption)
Children exposed to
violence/trauma
Children’s Advocacy Centers
Communication
Community-based
program/organization
Compliance Monitoring
Corrections/Detention
Court Appointed Special
Advocate (CASA)
Court services
DMC Coordinator

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Faith-based
program/organization
Formula Grant
Internet Crimes Against Children
(ICAC)
Juvenile justice specialist
Law enforcement
Mental health
Missing children
Other advocacy (e.g., GAL, CASA)
Parole/community corrections
Probation
Problem solving/specialized
courts (e.g., family/drug courts)
Prosecution

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Research
SAG Representative
Education
State requirements
State/local government
Substance abuse
Training and technical assistance
Tribal
School truancy/discipline/
violence prevention
Victims of Crime
Violence prevention
Youth development
Youth mentoring
Other: ________________

23. Please indicate which state you are from: _________________ (drop down list)

This survey will be offered online; however, in the case of paper surveys please send completed evaluation forms to:
Christine Leicht, OJJDP NTTAC Evaluation Manager, [email protected]