Requester feedback form

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

OJJDP NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER
REQUESTER FEEDBACK FORM
Thank you for requesting the “” event supported by the Office of Juvenile Justice and Delinquency Prevention
(OJJDP) National Training and Technical Assistance Center (NTTAC). To better serve you and the juvenile justice field, we would like to
know how satisfied you are with the quality of support offered to you by the OJJDO NTTAC Staff in the planning and delivery of this
event. Please complete only one form per event.
Requester Name/Agency: pre-printed information
Event Title/TA#: pre-printed information
Date(s): pre-printed information
Presenter(s): pre-printed information
TA Coordinator(s): pre-printed information
Please click the number that best represents your rating for this event for each of the following questions.
Were you satisfied with your overall OJJDP NTTAC experience?

1.

1
Very Dissatisfied

2.

2

3

4

5

Dissatisfied

Neither Satisfied Nor
Dissatisfied

Satisfied

Very Satisfied

4

5

Met My
Expectations

Exceeded My
Expectations

How well did this event meet your expectations?

3.

1

2

Far Below My
Expectations

Did Not Meet My
Expectations

3
Neither Met Nor
Failed to Meet My
Expectations

Were you satisfied with the overall quality of the support you received from OJJDP NTTAC in the delivery of this event?
1

2

3

4

5

Very Dissatisfied

Dissatisfied

Neither Satisfied Nor
Dissatisfied

Satisfied

Very Satisfied

Strongly
Disagree
(SD)

Disagree
(D)

Neither
Agree Nor
Disagree (N)

Agree
(A)

Strong
Agree
(SA)

Not
Applicable
(NA)

1

2

3

4

5

NA

1

2

3

4

5

NA

1

2

3

4

5

NA

1

2

3

4

5

NA

DELIVERY FEEDBACK

SD

D

N

A

SA

NA

8.
9.

1

2

3

4

5

NA

1

2

3

4

5

NA

PLANNING FEEDBACK
4.
5.
6.
7.

OJJDP NTTAC staff was detail-oriented and thorough in the
planning of this event.
OJJDP NTTAC staff was effective in coordinating with the
consultant to establish a mutual understanding of the
participants’ needs prior to the event.
The level of outreach/communication by OJJDP NTTAC staff
(telephone calls, e-mails, etc.) effectively moved the
planning process along.
OJJDP NTTAC staff adequately prepared me, the consultant
and the participants for the technological aspects of this
event.

I am satisfied with the quality of the consultant’s work.
The training/technical assistance delivery met our identified
needs and will allow us to provide better services to our

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

OJJDP NATIONAL TRAINING AND TECHNICAL ASSISTANCE CENTER
REQUESTER FEEDBACK FORM
target population.
10. The information presented was relevant/useful to
participants’ work.
11. OJJDP NTTAC and the consultant were successful in meeting
the event goals/objectives.

1

2

3

4

5

NA

1

2

3

4

5

NA

12. Did you have enough support, if needed, to develop a training/technical assistance plan (e.g., agenda, learning objectives) to
meet the needs of the audience?
 Yes
 No
If no, please explain:
13. Was the consultant was well suited for this event?
 Yes
 No
If no, please explain:
14. Was the moderator was well suited for this event? (Optional/If Applicable)
 Yes
 No
If no, please explain:
15. What obstacles or challenges, if any, did you encounter in the planning or delivery of this event?
16. What suggestions do you have for improving OJJDP NTTAC’s support of TTA planning and/or delivery?
17. What additional needs do you or your organization have regarding this topic or event?

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]