Feedback Questions for Disaster Human Services Seminar

OMB #: 0970-0401

Expiration Date: 6/30/2024

Disaster Human Services Seminar Feedback Questions

September 2022

Introduction

The purpose of this survey is to gather feedback from attendees on their experience attending OHSEPR’s “Disaster Human Services: Integrating Equity and Human Services Principles in Emergency Response” seminar. Information gathered from this survey will be used to inform future disaster equity trainings. Responses will be kept private, and participation is voluntary. The estimated time to complete this survey is 5 minutes.

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN The purpose of this information collection is to gather feedback on the seminar from seminar attendees to improve future disaster human services training(s). Public reporting burden for this collection of information is estimated to average 5 minutes respondent, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. Agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0401 and the expiration date is 06/30/2024. If you have any comments on this collection of information, please contact the Office of Human Services Emergency Preparedness and Response, 330 C St. SW, Washington, D.C. 20201.

1. Please select who you represent:

   1. Federal government

   2. State government

   3. Service provider

   4. Other (please elaborate)

2. Were the speakers and presentation clear and easy to understand? (Yes/ Somewhat/ No) (Y/S/N) If “Somewhat” or “No,” please elaborate. (Space for feedback)

3. Was the content presented new to you? (Y/S/N)

4. Were the following concepts clearly defined?

Disaster equity (Rate 1-5)

1. Disaster human services (Rate 1-5)

Disaster case management (Rate 1-5)

Please provide feedback. (Space for feedback)

5. Do you plan to apply the information in this seminar to your work? (Y/S/N) If “yes,” how so? (Space for feedback)

6. Was there content that you would like to learn more about? (Y/S/N) If “Yes” or “Somewhat,” please elaborate. (Space for feedback)

7. Was there anything you anticipated learning, but it wasn’t discussed during the seminar? (Y/N?) If “Yes,” please elaborate. (Space for feedback)

8. How would you evaluate the session overall? (Rate 1-5) Please provide feedback. (Space for feedback)

9. How likely are you to recommend this session to a colleague? (Rate 1-5)