Online Training Participant feedback form

ONLINE TRAINING

OMB#: 1121-XXXX
Date of Expiration: XXXX

Participant 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. Although this survey is completely voluntary, please note that completing this form is a requirement
for receiving CEU credit. If you have any questions about this survey or the evaluation, please contact [email protected].
Email: _________________________
Please rate your level of confidence in your ability to:

CONFIDENCE CAPACITY-BUILDING MEASURE:
_______________
1.
2.
3.
4.
5.
6.
7.

[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].

KNOWLEDGE CAPACITY-BUILDING MEASURE:
_______________
8.
9.
10.
11.
12.
13.
14.

[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].

SKILLS CAPACITY-BUILDING MEASURE:
_______________
15.
16.
17.
18.
19.
20.
21.

[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].
[insert capacity-building objective].

Very Low

Low

Moderate

High

Very
High

Not
Applicable

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3
3
3
3
3
3
3

4
4
4
4
4
4
4

5
5
5
5
5
5
5

NA
NA
NA
NA
NA
NA
NA

Very Low

Low

Moderate

High

Very
High

Not
Applicable

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3
3
3
3
3
3
3

4
4
4
4
4
4
4

5
5
5
5
5
5
5

NA
NA
NA
NA
NA
NA
NA

Very Low

Low

Moderate

High

Very
High

Not
Applicable

1
1
1
1
1
1
1

2
2
2
2
2
2
2

3
3
3
3
3
3
3

4
4
4
4
4
4
4

5
5
5
5
5
5
5

NA
NA
NA
NA
NA
NA
NA

Which modules did you complete?

Module
22.
23.
24.
25.

Module X: Title
Module X: Title
Module X: Title
Module X: Title

Yes

No

1
1
1
1

0
0
0
0

Please indicate the extent to which you agree or disagree with the following statements.
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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 15 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.

ONLINE TRAINING

OMB#: 1121-XXXX
Date of Expiration: XXXX

Participant Feedback

Module [X]: _____________________________________
26. As a result of this module, I can…
27. As a result of this module, I can…
28. The learning objectives for this module were clearly stated.

Module [X]: _____________________________________
29. As a result of this module, I can…
30. As a result of this module, I can…
31. The learning objectives for this module were clearly stated.

Strongly
Disagree

Disagree

Neither
Agree nor
Disagree

Agree

Strongly
Agree

Not
Applicable

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

2
2
2

3
3
3

4
4
4

5
5
5

NA
NA
NA

□ Yes

32. Did the instructor provide feedback on the mastery of the learning objectives to participants?

□ No

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

PRESENTER/FACILITATOR 1: ___________________
33. The presenter demonstrated a comprehensive knowledge of the
subject.
34. The presenter clearly and logically presented the content.
35. The presenter responded well to questions and comments.
36. The presenter created a respectful environment for participants.

PRESENTER/FACILITATOR 2: ___________________
37. The presenter demonstrated a comprehensive knowledge of the
subject.
38. The presenter clearly and logically presented the content.
39. The presenter responded well to questions and comments.
40. The presenter created a respectful environment for participants.

OVERALL SESSION
41.
42.
43.
44.
45.
46.
47.
48.
49.
50.
51.
52.
53.
54.
55.
56.

The training clearly addressed the learning objectives
The training addressed the critical issues related to the topic(s).
The time allotted was adequate for the scope of material covered.
The training was well organized and clear.
The content was appropriate for my level of experience and
knowledge.
The resource materials (handouts, audiovisuals, PowerPoints)
enhanced the session.
The assignments enhanced my learning.
The training increased my knowledge related to the topic(s).
The training increased my practical skills related to the topic(s).
I will be able to apply what I learned in my work.
The training improved my ability to serve victims.
The training improved my ability to reach underserved victims.
The training provided sufficient opportunity to network with others
in the field.
The interactive features and or activities (e.g. example of interactive
feature used in specific TTA inserted) enhanced my experience.
The technology was easy to us.
The session met my professional needs.

Strongly
Disagree

Disagree

Neither
Agree nor
Disagree

Agree

Strongly
Agree

Not
Applicable

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

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

2
2
2
2

3
3
3
3

4
4
4
4

5
5
5
5

NA
NA
NA
NA

1

2

3

4

5

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

1

2

3

4

5

NA

1

2

3

4

5

NA

1
1

2
2

3
3

4
4

5
5

NA
NA

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

ONLINE TRAINING

OMB#: 1121-XXXX
Date of Expiration: XXXX

Participant Feedback

57. I am satisfied with the overall quality of the session.
1
2
3
4
5
NA
Following the training, what three steps will you take to better serve victims of crime?
a. ___________________________________________________________________________________
b. ___________________________________________________________________________________
c. ___________________________________________________________________________________
58. Why did you take this training? (Mark all that apply.)
□ Course requirement
□ Job requirement
□ Certification

□ Personal learning/Professional development
□ Other (please specify):
_____________________________________________

As a result of participating in this session, please rate your level of confidence in your likelihood to do any of the following:

59.
60.
61.
62.
63.
64.
65.
66.
67.
68.
69.
70.
71.
72.
73.

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

74. Implement/change financial procedures
75. Modify outreach/marketing activities
76. 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.

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

___________________________________________________________________________________
___________________________________________________________________________________
78. Would you recommend OVC TTAC to others?

□ Yes

□ No

79. What aspects of the training were most helpful and why?

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
80. Were there any technical difficulties or issues with the audio/visual quality? □ Yes

□ No

If yes, please explain:

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

ONLINE TRAINING

OMB#: 1121-XXXX
Date of Expiration: XXXX

Participant Feedback

____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
81. What could be done differently to improve the training?

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

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

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
84. 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

85. 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):
_________________________

86. 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):
_________________________

87. 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):
_________________________

88. 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):
_________________________

89. 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

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

□ Consultant/Trainer

□ Other (please specify):

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

ONLINE TRAINING

OMB#: 1121-XXXX
Date of Expiration: XXXX

Participant Feedback
□ Management/Administrative Staff

□ Volunteer

_________________________

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

National
State
Tribal
International, list country:
_________________________________

□ Local
□ Urban
□ Rural
□ Suburban

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

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

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________

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