Form 0920-1050 Group TA Feedback

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Group TA Feedback
Please complete the survey below.
Thank you!

Thank you for participating in today's event. To help us meet your training and technical
assistance (TTA) needs, please take a few minutes to complete the following brief feedback
questionnaire. Your participation is completely anonymous and voluntary. All questions are
optional. You may choose to skip questions that you do not wish to answer or discontinue the
questionnaire at any point.
CDC estimates the average public reporting burden for this collection of information as 5
minutes per questionnaire, including the time for reviewing instructions, searching existing
data/information sources, gathering and maintaining the data/information 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 a collection of information unless it
displays a currently valid OMB control number. Send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for
reducing this burden to CDC/ATSDR Information Collection Review Office, 1600 Clifton Road
NE, MS D-74, Atlanta, Georgia 30333; ATTN: PRA (0920-1050).
Very dissatisfied

Somewhat
dissatisfied

Somewhat
satisfied

Very satisfied

Prefer not to
answer

1. Overall, how satisfied are you
with this event?

2. Please rate your level of understanding/agreement (strongly disagree, disagree, agree, or
strongly agree) with the following statements about what you learned in this event. 
Strongly disagree

Disagree

Agree

Strongly agree

Topic/Learning Objective 1
Topic/Learning Objective 2
Topic/Learning Objective 3

3. Please rate your level of agreement (strongly disagree, disagree, agree, or strongly agree)
with the following statements about the quality of this event.
Strongly
disagree

Disagree

Agree

Strongly agree

The topic(s) aligned with my
organization's needs and
priorities.
I intend to use or apply
information gained from this
event in my professional work.

04/25/2024 1:40pm

projectredcap.org

N/A

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The teaching methods were
effective.
The presenter(s) was
knowledgeable about the topic.
The event balanced didactic
information (information that is
intended to teach) with
opportunities for questions and
discussion.
My cultural background,
traditions, and identities were
respected in this space.
I found this event a good use of
my time.

4. What would you do to improve this event? (Select
all that apply.)

Please explain: "Other"

5. Please use this as a space to elaborate on any
areas of improvement you identified above.

6. How do you intend to use what you've learned during
this event? Examples could include enhancing your
organization's programming, informing training
efforts, and informing decision makers about best
practices and/or policies.
7. Are there any barriers to implementing the
information you learned in today's event?
8. If yes, please explain any barriers.

9. Please share any additional questions that were not
addressed during this event.
10. What other topics for group learning events would
you like to see offered, including topics that you
heard about today, that you want to hear more about?
11. What is your primary role in supporting Core SIPP?

04/25/2024 1:40pm

Decrease the length of the event.
Improve the instructional methods.
Include or increase small group/interactive
portions.
Increase the amount of content covered.
Increase the length of the event.
Offer the event at a more convenient time.
Provide more/better information before the event.
Reduce the amount of content covered.
Remove or reduce small group/interactive portions.
Other:

__________________________________

__________________________________________

__________________________________

Yes
No

__________________________________

__________________________________

__________________________________

__________________________________

projectredcap.org