Form 1 Scientific Workshop on Violence Assessment

NIH Violence Workshop Participant Satisfaction Feedback
(untitled)

OMB#: 0925-0648 Exp., date: 06/30/2024
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Thank you for your participation in this workshop. Please take a moment to complete
the following assessment.

1. What type of institution do you represent? *
Academia

Nonprofit

Community Organization

Other

2. What was your workshop role? *
Moderator

Speaker

Participant

Federal Government

Show/hide trigger exists.

3. Did you attend the Phase II opening session on May 6, 2021? *
Yes

No

Hidden unless: #3 Question "Did you attend the Phase II opening session on May 6,
2021? " is one of the following answers ("Yes")
Please rate your level of satisfaction with the following aspects of the opening session:

Hidden unless: #3 Question "Did you attend the Phase II opening session on May 6,
2021? " is one of the following answers ("Yes")

4. Overall Satisfaction:
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Neutral

Very Dissatisfied

Hidden unless: #3 Question "Did you attend the Phase II opening session on May 6,
2021? " is one of the following answers ("Yes")

5. Organization:
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Very Dissatisfied

Neutral

Hidden unless: #3 Question "Did you attend the Phase II opening session on May 6,
2021? " is one of the following answers ("Yes")

6. Information Provided:
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Neutral

Very Dissatisfied

Show/hide trigger exists.

7. Did you attend any of the Phase III working group sessions held from June through July
2021? *
Yes

No

Hidden unless: #7 Question "Did you attend any of the Phase III working group sessions
held from June through July 2021? " is one of the following answers ("Yes")
Please rate your level of satisfaction with the following aspects of the working group
sessions:

Hidden unless: #7 Question "Did you attend any of the Phase III working group sessions
held from June through July 2021? " is one of the following answers ("Yes")

8. Overall Satisfaction:
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Very Dissatisfied

Neutral

Hidden unless: #7 Question "Did you attend any of the Phase III working group sessions
held from June through July 2021? " is one of the following answers ("Yes")

9. Organization:
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Neutral

Very Dissatisfied

Hidden unless: #7 Question "Did you attend any of the Phase III working group sessions
held from June through July 2021? " is one of the following answers ("Yes")

10. Information Provided:
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Neutral

Very Dissatisfied

Show/hide trigger exists.

11. Did you attend the Phase IV report-out session held August 26, 2021? *
Yes

No

Hidden unless: #11 Question "Did you attend the Phase IV report-out session held
August 26, 2021? " is one of the following answers ("Yes")
Please rate your level of satisfaction with the following aspects of the report-out
session:

Hidden unless: #11 Question "Did you attend the Phase IV report-out session held
August 26, 2021? " is one of the following answers ("Yes")

12. Overall Satisfaction:
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Neutral

Very Dissatisfied

Hidden unless: #11 Question "Did you attend the Phase IV report-out session held
August 26, 2021? " is one of the following answers ("Yes")

13. Organization:
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Neutral

Very Dissatisfied

Hidden unless: #11 Question "Did you attend the Phase IV report-out session held
August 26, 2021? " is one of the following answers ("Yes")

14. Information Provided:
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Neutral

Very Dissatisfied

Please rate your level of satisfaction with the following aspects of the four-phase virtual
workshop overall:

15. Overall Satisfaction: *
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Neutral

Very Dissatisfied

16. Organization: *
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Neutral

Very Dissatisfied

17. Information Provided: *
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Neutral

Very Dissatisfied

18. Time Commitment: *
Very Satisfied

Somewhat Satisfied

Somewhat Dissatisfied

Very Dissatisfied

Neutral

19. How could this workshop (or future workshops) be improved?

20. Are there any additional comments or concerns you would like to share?

Thank You!

Thank you for taking our survey. Your response is very important to us.