Teleconference: Respite Rapid Roundtable

1. Teleconference Evaluation: Rapid Respite Roundtable

Thank you for participating in the Teleconference "Respite Rapid Roundtable." Please take a moment to complete the following questions and give us your feedback. It will help us improve our services in the future.

Thank you.

Question Title

* 1. Please provide the following information. This information is optional, but we would appreciate knowing what type of organization or agency you represent and which state you are from.

Name:

Type of Organization or Agency:

State:

Email Address:

Question Title

* 2. Did the Teleconference meet your needs by:

	Not at All		Somewhat		A Great Deal
Introducing information in an understandable manner?	Introducing information in an understandable manner? Not at All	Introducing information in an understandable manner?	Introducing information in an understandable manner? Somewhat	Introducing information in an understandable manner?	Introducing information in an understandable manner? A Great Deal
Presenting material in an organized fashion?	Presenting material in an organized fashion? Not at All	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? A Great Deal
Increasing your knowledge of the subject matter?	Increasing your knowledge of the subject matter? Not at All	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? A Great Deal
Providing a sufficient opportunity to network and share ideas?	Providing a sufficient opportunity to network and share ideas? Not at All	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? A Great Deal

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* 3. Will the information you learned today on the call help you develop strategies to develop or enhance your statewide Lifespan Respite system to improve respite access for all family caregivers?

Not at all

Somewhat

A great deal

N/A

Not at all

Somewhat

A great deal

N/A

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* 4. Overall, how effective was the Teleconference?

Not at All

Somewhat Effective

Very Effective

Not at All

Somewhat Effective

Very Effective

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* 5. Please provide any additional comments:

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 (http://www.archrespite.org) 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

To find respite in your community, visit www.respitelocator.org.

Lifespan RespiteTechnical Assistance Center

This project is supported, in part, under a grant from the U.S. Department of Health and Human Services, Administration for Community Living, Administration on Aging. Grantees undertaking projects under government sponsorship are encouraged to express freely their findings and conclusions. These contents, however, do not necessarily represent the policy of the U.S. Department of Health and Human Services and endorsement by the Federal Government should not be assumed.