Coordination Feedback Form

TRAINING AND
TECHNICAL ASSISTANCE
COORDINATION
FEEDBACK
Form

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

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.
EVENT:
DATE(S):

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

TRAINING AND TECHNICAL ASSISTANCE (T/TA) FEEDBACK

Strongly
Disagree

Disagree

Agree

Strongly
Agree

1.

It was easy to work with NHTTAC.

1

2

3

4

2.

The T/TA aligned with OTIP’s goals and priorities.

1

2

3

4

3.

Overall, this was an effective way to support the content and purpose of the
meeting.
NHTTAC collaborated with the necessary stakeholders to meet the
objective(s) of the T/TA.
The T/TA was grounded in a multidisciplinary approach to addressing human
trafficking.

1

2

3

4

1

2

3

4

1

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4.
5.
6.

The T/TA reflected a public health approach to addressing human trafficking.

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7.

The T/TA was trauma informed.

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4

8.

The T/TA was survivor informed.

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4

1

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3

4

1

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4

Strongly
Disagree

Disagree

Agree

Strongly
Agree

11. 

1

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4

12. 

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4

13. 

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14. 

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15. 

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9.

NHTTAC staff effectively responded to any obstacles or challenges
surrounding the planning or implementation of the T/TA.
10. The T/TA was based on current evidence-based research or promising
practices.
Please indicate the extent to which the T/TA met each stated objective:

T/TA OBJECTIVES

16. What could NHTTAC have done differently to better support the objectives of the T/TA?

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 0.05 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.