L1 Evaluation of Environmental Justice Facilitated Dialogue Program

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

EJ_Facilitated_Dialogue_Program_Eval_Form-FINAL-12-14-2022

L1 Evaluation of Environmental Justice Facilitated Dialogue Program

OMB: 1103-0117

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U .S. Department of Justice Dialogue Evaluation Form

Community Relations Service Environmental Justice Facilitated Dialogue

Program Name:


CRS Staff:

Date:

Location:

Your organization:


We greatly appreciate receiving your feedback, and we will use your responses to help improve the program.


Please rate how strongly you agree or disagree with each of the following statements by circling the corresponding number.

Shape1 Strongly Disagree

Disagree

Neutral

Agree

Strongly Agree

  1. I have a better understanding of the environmental justice resources available to communities.

1

2

3

4

5

  1. The dialogue helped to identify the issues that are important for the community to address.

1

2

3

4

5

  1. The dialogue helped to develop solutions to address issues in the community.

1

2

3

4

5

  1. The dialogue increased my knowledge to address environmental conflicts and perceived inequities.

1

2

3

4

5

  1. The dialogue was a worthwhile use of my time.

1

2

3

4

5

For the following questions, please write your comments in print and as legibly as possible.

  1. Which aspects of the dialogue were valuable?

Shape2






Shape3
  1. What could improve the dialogue process? Please be specific.





Thank you for your feedback!

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorSarah Gavieres
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File Created2023-10-20

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