User Satisfaction Survey

The 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

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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

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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.
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Excellent

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Good

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Adequate

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Needs Improvement

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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

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Agree

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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.
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Strongly Agree

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Agree

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Agree Somewhat

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Disagree

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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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