Speaker Support Participant Feedback

SPEAKER SUPPORT

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. Answers to these questions will be reported after aggregating all responses. Your participation in
this survey is completely voluntary. If you have any questions about this survey or the evaluation, please contact
[email protected].
EVENT:

SESSION:

LOCATION:

DATE(S):

PRESENTER(S):
LEARNING OBJECTIVES: SEE LAST PAGE

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

PRESENTER/FACILITATOR 1: ___________________
1.
2.
3.
4.

The presenter demonstrated a comprehensive knowledge of the
subject.
The presenter clearly and logically presented the content.
The presenter responded well to questions and comments.
The presenter created a respectful environment for participants.

PRESENTER/FACILITATOR 2: ___________________
5.
6.
7.
8.

The presenter demonstrated a comprehensive knowledge of the
subject.
The presenter clearly and logically presented the content.
The presenter responded well to questions and comments.
The presenter created a respectful environment for participants.

OVERALL SESSION
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.

The session clearly addressed the learning objectives. (See last page
for learning objectives.)
The session addressed the critical issues related to the topic(s).
The time allotted was adequate for the scope of material covered.
The session 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 session increased my knowledge related to the topic(s).
The session increased my practical skills related to the topic(s).
I will be able to apply what I learned in my work.
The session improved my ability to serve victims.
The session improved my ability to reach underserved victims.
The session provided sufficient opportunity to network with others
in the field.
The session met my professional needs.
I am satisfied with the overall quality of the session.

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

2

3

4

5

NA

1
1
1

2
2
2

3
3
3

4
4
4

5
5
5

NA
NA
NA

1

2

3

4

5

NA

1

2

3

4

5

NA

1
1
1
1
1

2
2
2
2
2

3
3
3
3
3

4
4
4
4
4

5
5
5
5
5

NA
NA
NA
NA
NA

1

2

3

4

5

NA

1
1

2
2

3
3

4
4

5
5

NA
NA

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.

SPEAKER SUPPORT

OMB#: 1121-XXXX
Date of Expiration: XXXX

Participant Feedback

□ Yes

23. Would you recommend OVC TTAC to others?

□ No

24. Do you have any other comments or suggestions?

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

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
26. 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

27. 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):
_________________________

28. 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):
_________________________

29. 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):
_________________________

30. 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):
_________________________

31. 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

32. 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):
_________________________

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

National
State
Tribal
International, list country:

□ Local
□ Urban
□ Rural
□ Suburban

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

SPEAKER SUPPORT

OMB#: 1121-XXXX
Date of Expiration: XXXX

Participant Feedback

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

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

___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
Please use the learning objectives listed below to answer question #9.

LEARNING OBJECTIVES:

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