Attachment C: NACP Grantee Post Meeting Survey_text
Form Approved
OMB No. 0923-0047
Exp. Date: 12/31/2018
2018 National Asthma Control Program Grantees’ Meeting
Evaluation
CDC estimates the average public reporting burden for this collection of information as approximately 10 minutes per
response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data
needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is
not required to respond to collection of information unless it displays a currently valid OMB control number. Send comments
regarding this burden statement or any other aspect of this collection of information, including suggestions for reducing this
burden to CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road, MS D-74, Atlanta, GA 30333, ATTN: PRA (0923-0047).
Please give us feedback!
Overall Ratings – Circle ONE number (do not circle WORDS)
OVERALL MEETING
Rate the value of the grantee meeting relative Very little Value 1 2 3 Average value 4 5 6 Highest value
to your work with state asthma program
Rate the ease of the meeting logistics Very difficult 1 2 3 Average 4 5 6 Very simple
(Consider registration, transportation, breaks,
security process. Etc.)
Rate the meeting length Far too long 1 2 3 About Right 4 5 6 Far Too Short
As compared to other meetings, please rate
how much you learned from this meeting No learning 1 2 3 Average 4 5 6 I learned a lot
What is the likelihood you will USE what
you learned when you return to your state? Unlikely 1 2 3 I might 4 5 6 Very Likely
Rate the time allotted to asking questions
and substantive discussions Not enough 1 2 3 Just right 4 5 6 Far too much
Rate the time allotted to NETWORKING Not enough 1 2 3 Just right 4 5 6 Far too much
Did you have sufficient time to share Completely 1 2 3 Just right 4 5 6 Far too much
innovations, perspectives and lessons learned? Inadequate time wasted
Rate your level of agreement overall: the Completely 1 2 3 Agree 4 5 6 Absolutely
topics presented were well organized disagree agree
Rate your level of agreement overall: the Completely 1 2 3 Agree 4 5 6 Absolutely
pacing and materials covered worked well disagree agree
MEETING SESSIONS
What breakout session did you attend? 1-Program Mgr 2-Surveillance 3-Evaluator 4-N/A did not attend
How likely are you to use information from Very unlikely 1 2 3 Probably 4 5 6 Definitely will
the breakout session? Will
Rate the value of your experience with the Very little Value 1 2 3 Average value 4 5 6 Highest value
World Café session
Rate how much you agree with this statement: Completely 1 2 3 Somewhat 4 5 6 I understand
“I have a better understanding of new Disagree Agree completely
developments at CDC and in the new Division”
Rate how much you agree with this statement: Completely 1 2 3 Somewhat 4 5 6 I understand
“I have a better understanding of the NACP Agree completely
CCARE Initiative.”
Rate how you felt about the session on A waste of time 1 2 3 Somewhat 4 5 6 Very worth-
Performance Measures useful while
What aspects of the meeting made it MOST USEFUL FOR YOU?
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What should we DEFINITELY DO in future meetings?
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What aspects of the meeting made it LEAST USEFUL FOR YOU?
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What should we DEFINITELY NOT DO in future meetings?
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Is there anything else we SHOULD have asked about?
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Is there anything you want to tell us?
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Thanks for giving us feedback!
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Disler, Sheri Barrera (CDC/ONDIEH/NCEH) |
File Modified | 0000-00-00 |
File Created | 2021-01-21 |