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pdfThe NCLER asks legal and aging network professionals that receive Legal Training, Case Consultation, and
Technical Assistance a series of survey questions presented in the web-based URSRT in order to properly assess
audience targeting, participant satisfaction and outcomes of training and technical assistance delivery as
required by the NCLER contract.
Survey Questions & General Information
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First and Last Name: Fillable field.
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E-mail address: Fillable field.
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State: Select from a drop-down menu.
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Organization Name: Fillable field.
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Type of Organization: Select from a drop-down menu.
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»
Title III-B Attorney
»
Legal Services Corporation Attorney
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Other Legal Services Attorney
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Other Elder Law Attorney
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Other Legal Services Professional
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Aging and/or Disability Network Professional,
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Other
Title: Select from a drop-down menu.
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Executive Director
»
Management
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Staff Attorney
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Counselor
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Other
Please rank the quality of assistance provided in this (Legal Training/Case Consultation/Technical
Assistance): Select one of the following from a drop-down menu.
»
Excellent
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Good
»
Adequate
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Needs Improvement
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•
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Poor
Did the assistance provided by this (Legal Training/Case Consultation/Technical Assistance) contribute
to a successful resolution of a specific client issue? Select one of the following from a drop-down menu.
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Strongly Agree
»
Agree
»
Agree Somewhat
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Disagree
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Strongly Disagree
If requesting assistance on legal services delivery, will the assistance provided contribute to the
successful completion of one or more of the following: legal needs and capacity assessments, legal
services delivery plans, legal service delivery standards, or data collection/reporting systems? Select
one of the following from a drop-down menu.
»
Strongly Agree
»
Agree
»
Agree Somewhat
»
Disagree
»
Strongly Disagree
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless such collection displays a valid OMB control number (OMB 0985-0060). Public reporting
burden for this collection of information is estimated to average 2-5 minutes per response, including time for
gathering and maintaining the data needed and completing and reviewing the collection of information.
Center on Law & Elder Rights |
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| File Type | application/pdf |
| File Modified | 2021-12-20 |
| File Created | 2021-12-20 |