General meeting feedback form

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

MEETING PARTICIPANT FEEDBACK FORM
Thank you for participating in the <“Insert Meeting Title Here”> Meeting 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 meeting in which you just participated. Your feedback is indispensable in our ongoing efforts
to improve the support that OJJDP provides. Your participation is completely voluntary.
Meeting Title/TA#: pre-printed information
Date(s): pre-printed information
OJJDP NTTAC Coordinator: pre-printed information
Please click the number that best represents your rating for this meeting for each of the following questions.
1.

2.

Overall, was this was an effective way to support the content and purpose of this meeting?
1

2

3

4

5

Very Ineffective

Ineffective

Neither Effective Nor
Ineffective

Effective

Very Effective

Did the facilitator effectively move through the meeting agenda?
1

2

3

4

5

Very Ineffective

Ineffective

Neither Effective Nor
Ineffective

Effective

Very Effective

Please click the number that best represents the extent to which you agree or disagree with the following statements about the
meeting.
Strongly
Disagree
(SD)

Disagree
(D)

1
1
1
1
1

2
2
2
2
2

3. The facilitator/presenter was an effective communicator.
4. The facilitator/presenter efficiently managed Q&A.
5. The use of technology contributed to a positive meeting environment.
6. The use of technology made it easy to ask questions and collaborate.
7. The time allotted was appropriate for completing all agenda items.

Neither
Strongly
Agree
Agree Nor
Agree
(A)
Disagree (N)
(SA)

3
3
3
3
3

4
4
4
4
4

5
5
5
5
5

Please click the number that best represents your rating for this meeting’s objectives.(delete this question if not applicable)
Meeting Objectives (if applicable)
8. As a result of my attendance, I .
9. As a result of my attendance, I .
10. As a result of my attendance, I .
(insert/delete objectives as necessary)
11. What suggestions do you have for improving future meetings?
12. Additional comments:

Did Not Address
this Objective in
Presentation

Did Not
Achieve this
Objective

Somewhat
Achieved this
Achieved this
Objective
Objective

1
1

2
2

3
3

4
4

1

2

3

4

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

MEETING PARTICIPANT FEEDBACK FORM
13. How do you plan to apply the information from this training in your work? (Please check all that apply.) (optional)
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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: _______________

14. 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: ________________

15. 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]