EJ_Facilitated_Dialogue_Program_Eval_Form-FINAL-12-14-2022

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.	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree
I have a better understanding of the environmental justice resources available to communities.	1	2	3	4	5
The dialogue helped to identify the issues that are important for the community to address.	1	2	3	4	5
The dialogue helped to develop solutions to address issues in the community.	1	2	3	4	5
The dialogue increased my knowledge to address environmental conflicts and perceived inequities.	1	2	3	4	5
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.

6. Which aspects of the dialogue were valuable?

7. What could improve the dialogue process? Please be specific.

Thank you for your feedback!