Form 1 Conference Evaluation Survey

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

Instrument A_Conference Evaluation Survey

2024 Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program All Grantee Meeting Evaluation Surveys

OMB: 0915-0212

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OMB No: 0915-0212

Expiration date: 04/30/2024




2024 MIECHV AGM Conference Evaluation Survey

Public Burden Statement: An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The OMB control number for this project is 0915-0212. Public reporting burden for this collection of information is estimated to average 0.33 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857.



How did you primarily attend the conference?

  • In-person

  • Virtually


As a conference participant, what was your role? (Check all that apply)

  • Attendee

  • Federal Staff

  • Workshop presenter

  • Poster presenter

  • Plenary speaker

Which best describes your relationship to the Maternal, Infant, and Early Childhood Home Visiting (MIECHV) Program? (Dropdown)

  • MIECHV Awardee

  • MIECHV Awardee Contractor (evaluation, data/CQI, TA)

  • ECCS Awardee

  • Model Developer

  • Technical Assistance Provider

  • Parent/Caregiver

  • Local Implementing Agency

  • Home Visitor

  • HRSA Staff

  • Other:


Overall, the 2024 MIECHV All Grantee Meeting met my expectations:

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

What components of the conference agenda were the most useful to you and your work?

  • Poster presentations

  • Plenary sessions

  • Concurrent sessions

  • 1:1 TA consultations

Most topics covered at the conference were relevant to my work.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

The conference theme, Collaborating on a new era for MIECHV, was reflected throughout the conference.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

Attendance at the conference increased my knowledge of the MIECHV Program.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

The abstract submission process was user friendly.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

  • Not applicable

I had adequate time to review the agenda and program prior to the conference.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

  • Not applicable

The pre-conference communication was helpful and easy to understand.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

  • Not applicable

The conference registration process was easy to follow.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

  • Not applicable

The conference website was user-friendly.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

  • Not applicable

The mobile app/virtual platform was useful and easy to use.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

  • Not applicable

I had adequate opportunities to network with my peers.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

  • Not applicable

Adequate time was allowed for breaks.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

  • Not applicable

The conference met my accessibility needs.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

  • Not applicable

[In-person only] The conference venue met my needs.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

[In-person only] The food choices in and near the venue met my needs.

  • Strongly Agree

  • Agree

  • Disagree

  • Strongly Disagree

Please tell us at least one thing that we can improve for a future conference: (Text box)



What additional topics and/or speakers would you like included in future conferences? (Text box)



Is there additional feedback you would like to provide? (Text box)




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File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorAnna Hanel
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File Created2023-12-15

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