Directors Employee Suggestions

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

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Directors Employee Suggestions

OMB: 0704-0553

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Number: 0704-0553

Expiration

Date: 31MAR2022

Department of the Navy Sexual Assault Prevention and Response Office (DON SAPRO)
invites you to complete a survey on your experience at the recent Regional Discussion

on Sexual Assault and Sexual Harassment: Achieving cultural change through data and
an evaluation mindset, co-hosted with the University of Albuquerque, New Mexico).
The purpose of this survey is to evaluate your recent experience at this Regional
Discussion and help to improve the experience of participants at future discussions.
This should take approximately 5 minutes or less. Your participation is voluntary. You
may quit the survey at any time. We will keep all individual responses anonymous and
confidential. Only aggregated responses will be reported. We appreciate your
participation.
By clicking "Next" you agree to your responses being provided to Regional Discussion
organizers and their leadership.
(End of Page 1 )

OMB Control

Number: 0704-0553

Expiration

Date: 31MAR2022
Are you:
 Military
 Civilian
Are you:
 Student
 Non Student
What best describes your participation at the conference:
 Presenter
 Participant
 Support Staff
 Other ____________________

Did you attend the National Discussion on Sexual Assault and Sexual Harassment at
America's Colleges, Universities and Service Academies April 4-5, 2019 hosted at the
United States Naval academy?
 Yes
 No
Did you attend the Regional Discussion on Sexual Assault and Sexual Harassment at
America's Colleges, Universities, and Service Academies September 5th, 2019 hosted at
the State University New York?
 Yes
 No
(End of Page 2 )

OMB Control

Number: 0704-0553

Expiration

Date: 31MAR2022
On a scale of 1 (no, not at all) to 5 (yes, very much) please rate the degree to which
Regional Discussion facilitated you to:
Sexual Assault

1 - No,
not at all


Increase/improve
the collection of
sexual assault
prevalence and/or
reporting data

Increase/improve the
standardization of
sexual assault
prevalence and/or
reporting data

Increase/improve the
transparent publication
of sexual prevalence
and/or reporting data

Develop a program
evaluation mindset
for sexual assault
prevention programs.

2 - No

4 - Yes



3Somewhat




5 - Yes,
very much


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

On a scale of 1 (very dissatisfied) to 5 (very satisfied) please rate your overall level of
satisfaction regarding quality of the Regional Discussion/General Sessions:
1 - Very
2345 - Very Did
Dissatisfied Dissatisfied Neutral Satisfied Satisfied not
attend







Keynote
Speaker/Congressional
Panel

Leadership Forum
Panel











Promoting a Culture of 
Change through Data
Panel

Promise and Peril:
Sexual Harassment
Today by Dr. Hillman

Networking Session



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On a scale of 1 (very dissatisfied) to 5 (very satisfied) please rate your overall level of
satisfaction regarding quality of the Breakout Session 1 (from 1-2PM)
1 - Very
23Dissatisfied Dissatisfied Neutral




1.
Conversation
on Culture
and Climate

2.
Determining
Next Steps
on Program
Evaluation

3. Multi
College
Bystander
Efficacy
Evaluation

4Satisfied


5 - Very
Satisfied


Did not
Attend






















On a scale of 1 (Very Dissatisfied) to 5 (Very Satisfied) please rate your overall level of
satisfaction regarding quality of the Breakout Session 2: (from 2:10-3:10PM)
1 - Very
23Dissatisfied Dissatisfied Neutral




1. Sexual
Violence and
Indigenous
Communities

2. The
Impact of
Institutional





4Satisfied


5 - Very
Satisfied


Did Not
Attend








Responses
to Sexual
Violence
3. Deep Dive 
into
Reporting
and
Prevalence
Data











On a scale of 1 (Very Dissatisfied) to 5 (Very Satisfied) please rate your overall level of
satisfaction regarding quality of the Breakout Session 3: (from 3:20-4:20PM)
1 - Very
23Dissatisfied Dissatisfied Neutral




1.Leading
Factors: The
Impact of
Climate on
Sexual Assault

2. Assessing
Comprehensive
Prevention
Strategies

3. Federal
Grant Funding
Agencies'
Sexual
Misconduct
Reporting
Obligations

4Satisfied


5 - Very
Satisfied


Did Not
Attend






















On a scale of 1 (no, not at all likely) to 5 (very likely) how likely is that you will:

Attend
another
Regional

1 - No, not
at all likely

2 - No





3Somewhat
Likely


4 - Likely

5 - Very
Likely





Discussion
Recommend
the Regional
Discussion to
a colleague
Continue the
discussion on
Sexual
Assault
and/or
Sexual
Harassment
with people
you've met at
this Regional
Discussion
Continue the
discussion on
Sexual
Assault
and/or
Sexual
Harassment
with people
in your
professional
circle
Attend the
National
Discussion
(April 2020)



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On a scale of 1 (very dissatisfied) to 5 (very satisfied) please rate your overall level of
satisfaction regarding quality of the summit:

Communications
Website
Registration

1 - Very
Dissatisfied




2Dissatisfied




3 - Neutral

4 - Satisfied









5 - Very
Satisfied




(End of Page 3 )

We welcome your feedback on the following questions:
Which aspect of the Regional Discussion did you find the most useful?
____________________
Which aspect of the Regional Discussion did you find the least useful?
____________________
Please share any other thoughts on how we can make the Regional Discussion better.
______________________________________________________________
______________________________________________________________
______________________________________________________________
(End of Page 4 )


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