Outcomes Measurement
Getting the
Best Results from Surveys and Interviews |
References
Technical Assistance Survey
Template
Adapted from materials
developed for AIDS Housing of Washington’s Technical
Assistance Program, Clegg & Associates, Inc., Seattle,
WA, 2003
In the following
section, please check the appropriate box
in response to each statement, followed
by any comments you may have. If you are
not familiar with a particular area, please
check "Not Sure." Thank you!
- How satisfied are you with
the following aspects of our
services?
|
| Technical
Assistance Program Goal |
| |
Extremely
Dissatisfied |
Dissatisfied |
Satisfied |
Extremely
Satisfied |
Not
Sure |
| Knowledge demonstrated
by staff |
|
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|
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| Responsiveness of
staff to your needs |
|
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| Usefulness of information/assistance
provided |
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| Overall quality
of the service provided |
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| |
Comments:
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- How can we improve our
service delivery to you?
|
- To what degree to you feel
you have improved your knowledge
or skills in the following
areas as a result of your
work with us?
|
| |
No
Improvement Whatsoever |
Minimal
Improvement |
Moderate
Improvement |
Large
Improvement |
Not
Sure |
| [Complete one line for each topic or skill area addressed by the training and/or technical assistance you provided] |
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Comments:
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- To what degree do you feel your
organization has
improved its knowledge or skills in the
following areas as a result of your work
with us?
|
| |
No
Increase Whatsoever |
Minimal
Increase |
Moderate
Increase |
Large
Increase |
Not
Sure |
| [Complete one line for each topic or skill area addressed by the training and/or technical assistance you provided] |
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Comments:
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- To what degree do you feel your
organization has improved
its capacity in the following areas as
a result of your work with us?
|
| |
No
Increase Whatsoever |
Minimal
Increase |
Moderate
Increase |
Large
Increase |
Not
Sure |
[Complete one line for each topic or skill area addressed by the training and/or technical assistance you provided] |
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Comments:
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- What do you feel is the
most valuable result of your
work with us?
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- What additional assistance
do you think would help your
organization right now?
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- Any other comments or suggestions?
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Getting
the Best Results from Surveys and Interviews |
References
