Webinar Participant Feedback Form

WEBINAR FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form

In order to help the National Human Trafficking Training and Technical Assistance Center (NHTTAC) better serve the field, we
are reaching out to obtain your feedback. We will protect the privacy of your information in accordance with the Federal Privacy
Act, and we will protect the confidentiality of your responses using procedures we have in place, including reporting all
information in aggregate to avoid identifying information. Only members of the NHTTAC Evaluation Team have access to
information that could identify respondents. If you have any questions about this survey or the evaluation, please contact
NHTTACEval@icf.com.
WEBINAR:
DATE(S):
PRESENTER(S):

Please indicate the extent to which you agree or disagree with the following statements:

OVERALL WEBINAR
1.
2.
3.
4.
5.

Strongly
Disagree

Disagree

Agree

Strongly
Agree

1
1
1
1
1
1
1
1

2
2
2
2
2
2
2
2

3
3
3
3
3
3
3
3

4
4
4
4
4
4
4
4

1

2

3

4

1
1

2
2

3
3

4
4

1

2

3

4

Strongly
Disagree

Disagree

Agree

Strongly
Agree

1
1
1

2
2
2

3
3
3

4
4
4

Strongly
Disagree

Disagree

Agree

Strongly
Agree

1
1
1

2
2
2

3
3
3

4
4
4

As a result of this webinar, I
As a result of this webinar, I
As a result of this webinar, I
As a result of this webinar, I
As a result of this webinar, I

6.
7.
8.
9.

The webinar addressed the critical issues related to the topic(s).
The time allotted was adequate for the scope of material covered.
The webinar was organized and clear.
The webinar included information on current evidence-based research or
promising practices.
10. The webinar content was survivor informed.
11. The webinar content was trauma informed.
12. The webinar content reflected a public health approach to addressing human
trafficking.

PRESENTER 1:
13. The presenter’s knowledge and expertise were appropriate for this webinar.
14. The presenter engaged and interacted with the audience.
15. The presenter created a respectful environment for participants.

PRESENTER 2:
16. The presenter’s knowledge and expertise were appropriate for this webinar.
17. The presenter engaged and interacted with the audience.
18. The presenter created a respectful environment for participants.
19. Please rate the overall quality of this webinar.
1

2

3

4

Poor

Fair

Good

Excellent

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting
burden for this collection of information is estimated to average 0.067 hours per respondent, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the
Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information, please contact the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

WEBINAR FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form

20. How useful was the webinar information to your work?
1

2

3

4

Not Useful

Somewhat Useful

Useful

Very Useful

21. What additional topics related to human trafficking would you like included in future webinars?

[Note: Questions 22–24 are only asked for evaluations of the Emerging Issues webinar series.]
22. There are a total of webinars in the Emerging Issues series. Please check the webinars you attended from the
following list:











23. Please rate the overall quality of the webinars you selected in the previous question.
1

2

3

4

Poor

Fair

Good

Very Good

24. How well did the content in each webinar you selected complement each other?
1

2

3

4

Not At All

Not Well

Well

Very Well

25. Would you recommend NHTTAC to others who need training or technical assistance?

□ Yes

□ No

26. Which of the following best describes your professional capacity or types of services you provide? (Mark all that apply.)

□
□
□
□
□

Behavioral health professional (e.g., psychologist,
psychiatrist, mental health/substance use counselor)
Child welfare (e.g., state agency staff, child welfare
contractor, nonprofit personnel)
Corrections-based services (e.g., parole, probation)
Criminal justice (e.g., law enforcement, prosecutor,
probation, court, forensic interviewer)
Educator (e.g., teacher, professor, school
administrator)

□
□
□
□

Health care (e.g., physician, physician assistant,
nurse practitioner, dentist, nurse, pharmacist)
Housing (e.g., case worker, shelter director, public
housing authority agencies)
Legal (e.g., immigration, civil and/or rightsbased attorney and/or paralegal, clinic)
Public health (e.g., licensure board, health
department staff, health care executive,
community health workers)

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting
burden for this collection of information is estimated to average 0.067 hours per respondent, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the
Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information, please contact the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.

WEBINAR FEEDBACK

OMB Control Number: 0970-0519
Expiration Date: 05/31/2020

Form

□
□

□

Social worker (e.g., case manager,
school counselor, supervisor,
administrator)
Survivor empowerment, mentoring, or peer to peer

□

Violence prevention (e.g., Child abuse and
neglect; elder abuse; domestic violence, sexual
violence, youth violence)
Other (please specify):
_

27. Which of the following best describes your geographic population? (Mark all that apply).
□ National
□ State (please specify):
□ Tribal
□ International (please specify country):

□

Local
□ Urban
□ Rural
□ Suburban

28. In your professional capacity, how frequently do you come into contact with a person who is currently being trafficked, at
risk of being trafficked, or has been trafficked?
1

2

3

4

Never

Occasionally

Frequently

Daily

29. Please select any of the following populations you currently work with in a professional capacity. (Mark all that apply.)
Human trafficking
 Commercial sexual exploitation of
children
 Sex trafficking
 Adults
 Minors
 Labor trafficking
 Adults
 Minors
Children/youth
 Out of home/Foster care/Kinship care
 Juvenile justice
 Runaway/Homeless youth
People with disabilities
Deaf/Hearing impaired
Elderly
Lesbian, gay, bisexual, transgender, and
questioning

Foreign nationals (migrant workers, undocumented
immigrants, refugees)
People with low incomes
Racial and ethnic minorities
 American Indian or Alaska Native
 Asian
 Black or African American
 Native Hawaii or other Pacific Islander
 White
 Hispanic or Latino ethnicity
History of substance use
Intimate partner violence (e.g., dating, domestic
violence)
Gang-related crime
Sexual abuse/Violence
Other (please specify):

Thank you for taking the time to complete this form and helping to improve NHTTAC activities.

PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) STATEMENT OF PUBLIC BURDEN: The purpose of this information
collection is to enable NHTTAC to collect recipient and stakeholder feedback to improve NHTTAC’s T/TA service delivery. Public reporting
burden for this collection of information is estimated to average 0.067 hours per respondent, including the time for reviewing instructions,
gathering and maintaining the data needed, and reviewing the collection of information. This is a voluntary collection of information. An
agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the
Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. If you have any comments on this collection of
information, please contact the NHTTAC Evaluation Team at NHTTACEval@icf.com or 9300 Lee Highway, Fairfax, VA 22031.