Form Approved
OMB No. 0990-0379
Exp. Date 08/31/2023
Teen Pregnancy Prevention (TPP) Evaluation Technical Assistance Product Satisfaction Feedback Survey
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer
Product satisfaction survey
Please take a few minutes to provide feedback about your experience with products recently created by the Evaluation Technical Assistance (Eval TA) team for the Office of Population Affairs’ Teen Pregnancy Prevention Program. Your responses are anonymous and will be used for program improvement purposes only. Thank you for your time!
For the questions below, please indicate the extent to which you agree or disagree with the following statements.
SD – I strongly disagree with this statement.
D – I disagree with this statement.
N – I neither agree nor disagree with this statement.
A – I agree with this statement.
SA – I strongly agree with this statement.
NA – Not applicable.
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10. What types of topics for TA products would be most helpful and why?
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11. What format for TA products would be most helpful and why?
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Title | Form Approved |
Author | DHHS |
File Modified | 0000-00-00 |
File Created | 2022-07-04 |