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4.2 Message and Material Testing Focus Group Recruitment Materials
ICR 202608-0906-005 · OMB 0906-0084 · Object 171760800.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | 4.2 Message and Material Testing Focus Group Recruitment Materials |
| Author | January 2024 |
| Last Modified By | Writer |
| File Modified | 2024-09-12 |
| File Created | 2026-08-28 |
| Conversion State | complete |
Extracted Text
Post-TA Activity Survey Introduction ICF, under contract with the Health Resources and Services Administration (HRSA), manages and evaluates the Expanding Health Center Awareness of Sexual Assault-Related Health project. This survey is to gather your feedback regarding the perceived quality and effectiveness of the technical assistance (TA) offered to support the use of the TA Resource. Our goal is to provide the best assistance to support your work and this feedback will help us to make that TA better. The survey is designed to take about 5 minutes to complete. Informed Consent Your participation is voluntary. You may refuse to answer any questions or stop the survey at any time. ICF will have access to your contact information when you complete this survey. However, ICF will aggregate and de-identify responses when reporting to HRSA. ICF will not link your name with your individual responses in any reports to HRSA. ICF will maintain your responses in a secure manner. There are no right or wrong answers or ideas—we want to hear your experiences and opinions. There are no risks to you or your organization for participating in this survey. The information will be used to improve the training and TA provided to HRSA-funded health centers. This survey will take no longer than five minutes to complete. For questions regarding your rights related to survey participation, you can contact ICF’s Institutional Review Board (IRB) at [email protected]. * I confirm that I have read the information above and agree to participate in the survey. Agree, continue to the survey Draft Survey Feedback on “Name of TA Activity” 1. Please indicate the name of the HRSA-funded health center you are affiliated with: a. [Open text field] 2. Which of the following best describes your role(s) at the HRSA-funded health center (select all that apply): a. Clinical staff (i.e., front desk, medical assistant, etc.) b. Clinical provider (i.e., physician, nurse practitioner, SAFE examiner, etc.) c. Health center administration (i.e., Medical Director, Director of Patient Services) d. Patient navigator e. Community health worker f. Other (please specify): __________________ 3. How did you learn about [Name of TA Activity]? a. Social media (LinkedIn, Instagram, X, etc.) b. Colleagues at my organization c. Colleagues from another organization d. HRSA Newsletter e. Conference f. Other: [OPEN TEXT] This survey is referring to the specific TA activity listed in the email. Please select the response that best represents your rating for this TA activity for each of the following questions. Poor Fair Good Very Good Excellent Please rate the overall quality of this activity. Strongly Disagree Disagree Neither Agree nor Disagree Agree Strongly Agree My knowledge and/or skills increased as a result of this activity. The information and materials shared were useful to my work. The length and pace of the activity was appropriate. The materials and information were appropriate for my level of experience and knowledge. The knowledge and expertise of this trainer/presenter were appropriate for this activity. Additional Items for Public TA Activities The [insert type of public TA activity] met the stated objectives: TA activity objective 1 TA activity objective 2 TA activity objective 3 TA activity objective 4 TA activity objective 5 The [insert type of public TA activity] technology provided a positive learning environment. The event connected us with the appropriate peers/agencies. Additional Items for On-Demand TA Activity The on-demand TA activity met the following objectives: TA activity objective 1 TA activity objective 2 TA activity objective 3 TA activity objective 4 TA activity objective 5 Participation and interaction were encouraged. This TA activity incorporated the local context into the training. How do you plan to apply the information from this event to your work? What was MOST valuable about this event? What was LEAST valuable about this event? What suggestions do you have for improving training and technical assistance events? What additional technical assistance needs do you or your organization have?