Consultant Feedback form

CONSULTANT FEEDBACK

OMB#: 1121-XXXX
Date of Expiration: XXXX

In order to help OVC TTAC better serve the field, we would like to obtain your feedback. We will protect the privacy of your
information in accordance with the Federal Privacy Act, and we will protect the confidentiality of your responses using
procedures we have in place. If you have any questions about this survey or the evaluation, please contact [email protected].

EVENT:

SESSION:

LOCATION:

DATE(S):

PRESENTER(S):
OVC TTAC COORDINATOR:

Please indicate the extent to which you agree or disagree with the following statements. Mark “Not Observed” if you are unable
to assess the statement due to not being present or able to observe.

OVERALL SESSION
1.
2.

3.

4.

OVC TTAC was responsive to my questions and needs.
Discussions with OVC TTAC helped me to identify
critical issues and understand the needs of participants
prior to the session.
OVC TTAC provided me with the necessary
information and resources to help me adequately
prepare for the session.
The time allotted was adequate for the scope of
material covered.
5.

Would you recommend OVC TTAC to others?

6.

What could be done differently to improve the session?

Strongly
Disagree

Disagree

Neither
Agree nor
Disagree

Agree

Strongly
Agree

Not
Applicable

Not
Observed

1

2

3

4

5

NA

NO

1

2

3

4

5

NA

NO

1

2

3

4

5

NA

NO

1

2

3

4

5

NA

NO

□ Yes

□ No

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7.

Do you have any other comments or suggestions?

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Thank you for taking the time to complete this form and helping to improve OVC TTAC activities.

Paperwork Reduction Act Notice
Under the Paperwork Reduction Act, a person is not required to respond to a collection of information unless it displays a valid OMB control
number. The estimated average time to complete this form is 5 minutes. If you have comments regarding the accuracy of this estimate or
additional suggestions, please write to the OVC TTAC evaluation team at [email protected] or 9300 Lee Highway, Fairfax, VA 22031.