Materials User Feedback form

MATERIALS

OMB#: 1121-XXXX
Date of Expiration: XXXX

User Feedback

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].
Please complete this survey after you have used the materials.
MATERIALS: pre-printed information
DATE DOWNLOADED/RECEIVED: pre-printed information

1.

Which of the following best describes the reason you obtained these materials? (Mark one.)
□
□
□
□

Personal use/assist a family member/friend
For use in undergraduate coursework
For use in graduate coursework
To train colleagues/faculty/victim service providers

□ To provide services to victims/perpetrators of crime
□ For use in program development/operations
□ Other (please specify): __________________________
_____________________________________________
□ Yes

2.

Was this resource used as part of a larger training/course?

3.

Approximately how many times have you used this resource? (Mark one.)
□ I have not used it yet
□ 1 time

4.

□ No

□ 2–3 times
□ 4–6 times

□ 7+ times

If you used these materials to train/teach others, how many people participated in the training/class? ____________________

Please indicate the extent to which you agree or disagree with the following statements.

COMPONENT 1: _____________________________
5.
6.
7.
8.
9.
10.
11.

The materials addressed the critical issues related to the topic(s).
I am satisfied with the content of these materials.
I am satisfied with the format of these materials
The materials were well organized and clear.
The terminology included in the materials was used correctly.
The materials increased my knowledge related to the topic(s).
The materials were appropriate for my level of experience and
knowledge.
12. The materials were useful and relevant.
13. The materials met my professional needs.
14. I am satisfied with the overall quality of the materials.

COMPONENT 2: _____________________________
15.
16.
17.
18.
19.
20.
21.

The materials addressed the critical issues related to the topic(s).
I am satisfied with the content of these materials.
I am satisfied with the format of these materials
The materials were well organized and clear.
The terminology included in the materials was used correctly.
The materials increased my knowledge related to the topic(s).
The materials were appropriate for my level of experience and
knowledge.
22. The materials were useful and relevant.
23. The materials met my professional needs.
24. I am satisfied with the overall quality of the materials.

Strongly
Disagree

Disagree

Neither
Agree nor
Disagree

Agree

Strongly
Agree

Not
Applicable

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
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4
4
4

5
5
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5

NA
NA
NA
NA
NA
NA

1

2

3

4

5

NA

1
1
1

2
2
2

3
3
3

4
4
4

5
5
5

NA
NA
NA

Strongly
Disagree

Disagree

Neither
Agree nor
Disagree

Agree

Strongly
Agree

Not
Applicable

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

5
5
5
5
5
5

NA
NA
NA
NA
NA
NA

1

2

3

4

5

NA

1
1
1

2
2
2

3
3
3

4
4
4

5
5
5

NA
NA
NA

As a result of using this material, please rate your level of confidence in your likelihood to do any of the following:
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 10 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.

MATERIALS

OMB#: 1121-XXXX
Date of Expiration: XXXX

User Feedback

25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
35.
36.
37.
38.
39.

Share material with colleagues
Refer colleagues to other OVC TTAC events/resources
Train/educate others in content/skills learned
Pursue additional professional development
Develop/strengthen use of technology or infrastructure
Develop/strengthen collaborative or strategic relationships
Expand services to new victim populations
Expand types of services offered to victims
Strengthen administrative capacity to better serve victims of crime
(e.g., financial management, develop a board of directors)
Enact policy changes at my organization
Begin a new project or initiative
Change my management, leadership, or interpersonal
communication style
Strengthen evaluation or needs assessment activities
Network with other participants
Identify/pursue new funding resources

40. Implement/change financial procedures
41. Modify outreach/marketing activities
42. Develop/enhance vision, mission, or strategic plan

Very Low

Low

Moderate

High

Very
High

Not
Applicable

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4

5
5
5
5
5
5
5
5

NA
NA
NA
NA
NA
NA
NA
NA

1

2

3

4

5

NA

1
1

2
2

3
3

4
4

5
5

NA
NA

1

2

3

4

5

NA

1
1
1
1
1
1

2
2
2
2
2
2

3
3
3
3
3
3

4
4
4
4
4
4

5
5
5
5
5
5

NA
NA
NA
NA
NA
NA

Please specify any other actions you plan to take as a result of this session that are not listed in the table above.

____________________________________________________________________________________

43. Please explain in detail any ways this session improved your organization’s capacity to better serve victims of crime:

____________________________________________________________________________________
____________________________________________________________________________________
44. Would you recommend OVC TTAC to others?

□ Yes

□ No

45. What aspects of the materials were most helpful and why?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
46. What could be done differently to improve the materials?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
47. Do you have any other comments or suggestions?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
48. Following this session, what additional resource or trainings could OVC TTAC provide to support you and your organization?

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
49. Are there any resources you would suggest we link to from the materials? If so, please provide the link if hosted online and
provide a description below. If they are not hosted online, please email us a copy at [email protected].

____________________________________________________________________________________

MATERIALS

OMB#: 1121-XXXX
Date of Expiration: XXXX

User Feedback

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
50. How often have you engaged with OVC TTAC in the last 12 months? (Mark one.)
□ 1–3 times
□ 4–6 times

□ 7–9 times
□ 10+ times

51. Which of the following best describes your gender identity? (Mark one.)
□ Male
□ Female
□ Transgender Male

□ Transgender Female
□ Genderqueer/NonConforming/
Non-Binary

□ Two-Spirit
□ Not Listed (option to specify):
_________________________

52. Which of the following best describes your race/ethnicity? (Mark all that apply.)
□
□
□
□

American Indian or Alaska Native
Asian
Black/African American
Hispanic/Latino

□ Native Hawaiian or
Pacific Islander
□ White Non-Latino or
Caucasian

□ Not Listed (option to specify):
_________________________

53. Which of the following best describes the organization in which you work? (Mark all that apply.)
□
□
□
□

Community-Based/Grassroots
Criminal Justice Agency
Education
Faith-Based

□
□
□
□

Health/Mental Health Services
Human/Social Services
Legal Services
Legislation/Policymaking

□ Military
□ Research
□ Other (please specify):
_________________________

53. Which types of victim services do you provide for crime victims in your current position? (Mark all that apply.)
□
□
□
□
□

I do not provide direct services
Child Care
Compensation/Restitution
Counseling
Crisis Intervention

□ Criminal Justice System
Advocacy/Assistance
□ Housing/Shelter
□ Information/Referral
□ Medical/SANE/SART

□
□
□
□

Notification
Transportation
24-Hour Hotline
Other (please specify):
_________________________

54. Which of the following best describes the number of years of experience you have in your current field of work? (Mark one.)
□ Less than 3 years

□ 3 to 5 years

□ 6 to 10 years

□ More than 10 years

55. Which of the following best describes your primary role in your current position? (Mark all that apply.)
□ Direct Delivery/Front Line Staff
□ Management/Administrative Staff

□ Consultant/Trainer
□ Volunteer

□ Other (please specify):
_________________________

56. Which of the following best describes the population you serve? (Mark all that apply.)
□
□
□
□

National
State
Tribal
International, list country:
_________________________________

□ Local
□ Urban
□ Rural
□ Suburban

57. Please provide your city and state (i.e., location of organization or professional address).

___________________________________________________________________________________
58. Please list any marginalized or underserved populations you serve.

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

MATERIALS
User Feedback

OMB#: 1121-XXXX
Date of Expiration: XXXX

Thank you for taking the time to complete this form and helping to improve OVC TTAC activities. If you would be
willing to help promote these curriculum materials, please provide your email: ____________________________