Teleconference: Successful State Respite Coalitions: An Ongoing Process of Self-Assessment, July 19, 2017 Survey

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* 1. Providing the following information is optional, but we would appreciate knowing what state you are from.

Name (optional):

Type of Organization or Agency (optional):

State:

Email Address (optional):

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* 2. Did the Teleconference meet your needs by:

	A Great Deal		Somewhat		Not at All
Providing presenters who were knowledgeable about the subject matter and effective in presenting information?	Providing presenters who were knowledgeable about the subject matter and effective in presenting information? A Great Deal	Providing presenters who were knowledgeable about the subject matter and effective in presenting information?	Providing presenters who were knowledgeable about the subject matter and effective in presenting information? Somewhat	Providing presenters who were knowledgeable about the subject matter and effective in presenting information?	Providing presenters who were knowledgeable about the subject matter and effective in presenting information? Not at All
Introducing information/topic in an understandable manner?	Introducing information/topic in an understandable manner? A Great Deal	Introducing information/topic in an understandable manner?	Introducing information/topic in an understandable manner? Somewhat	Introducing information/topic in an understandable manner?	Introducing information/topic in an understandable manner? Not at All
Presenting material in an organized fashion?	Presenting material in an organized fashion? A Great Deal	Presenting material in an organized fashion?	Presenting material in an organized fashion? Somewhat	Presenting material in an organized fashion?	Presenting material in an organized fashion? Not at All
Increasing your knowledge of the subject matter?	Increasing your knowledge of the subject matter? A Great Deal	Increasing your knowledge of the subject matter?	Increasing your knowledge of the subject matter? Somewhat	Increasing your knowledge of the subject matter?	Increasing your knowledge of the subject matter? Not at All
Providing a sufficient opportunity to network and share ideas?	Providing a sufficient opportunity to network and share ideas? A Great Deal	Providing a sufficient opportunity to network and share ideas?	Providing a sufficient opportunity to network and share ideas? Somewhat	Providing a sufficient opportunity to network and share ideas?	Providing a sufficient opportunity to network and share ideas? Not at All

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* 3. Please rate your confidence in the subject matter covered:

	Very high	High	Moderate	Low	Very low
Before participating in the teleconference, how would you have rated your knowledge of the subject matter?	Before participating in the teleconference, how would you have rated your knowledge of the subject matter? Very high	Before participating in the teleconference, how would you have rated your knowledge of the subject matter? High	Before participating in the teleconference, how would you have rated your knowledge of the subject matter? Moderate	Before participating in the teleconference, how would you have rated your knowledge of the subject matter? Low	Before participating in the teleconference, how would you have rated your knowledge of the subject matter? Very low
Now that you have participated in this teleconference, please rate your knowledge of the subject matter.	Now that you have participated in this teleconference, please rate your knowledge of the subject matter. Very high	Now that you have participated in this teleconference, please rate your knowledge of the subject matter. High	Now that you have participated in this teleconference, please rate your knowledge of the subject matter. Moderate	Now that you have participated in this teleconference, please rate your knowledge of the subject matter. Low	Now that you have participated in this teleconference, please rate your knowledge of the subject matter. Very low

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* 4. Will what you learned today help you build or strengthen your coalition?

A Great Deal

Somewhat

Not at All

N/A

A Great Deal

Somewhat

Not at All

N/A

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* 5. Overall, how effective was the Teleconference?

Very Effective

Somewhat Effective

Not at all Effective

Very Effective

Somewhat Effective

Not at all Effective

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* 6. Please provide any additional comments:

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* 7. Please suggest topics of interest for future webinars and teleconferences.

Thank you for taking the time to complete this survey. You will now be redirected to the ARCH website. If you would like more background information on Lifespan Respite, state respite coalitions, or any respite topic, please feel free to browse the site at your leisure or contact us at the address below.

For more information, please contact:
Jill Kagan
Program Director
ARCH National Respite Network and Resource Center
703-256-2084
jkagan@archrespite.org
www.archrespite.org

Lifespan Respite Technical Assistance Center

This project was supported, in part by grant number 90LT0002, from the U.S. Administration for Community Living, Department of Health and Human Services, Washington, D.C. 20201. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. Points of view or opinions do not, therefore, necessarily represent official Administration for Community Living policy.