BJA Mental Health Court Learning Sites Technical Assistance Evaluation Form Your opinions are important and will help us improve the Learning Sites Program in the future. Please rate your experiences below, and feel free to make any additional comments. Name: ____________________________
Jurisdiction: ___________________________________
Date of visit ________________________ Learning site visited: _____________________________
I.
PROGRAM Not at All 1 2
3
4
Very 5
Not at All 1 2
3
4
Very 5
Not at All 1 2
3
4
Very 5
4
Very 5
Inadequate (weeks) 1 2 3
4
Adequate (days) 5
-Responsiveness of learning site to request?
Poor 1
2
3
4
Excellent 5
-Logistics information provided for site visit?
Poor 1
2
3
4
Excellent 5
4
Very 5
-How useful is the learning sites concept?
-Was information about the program well disseminated?
-Was information about the program easily accessible?
-How would you rate the learning sites program introductory information?
II.
Not at All 1 2
3
LOGISTICS
-Length of time before receiving a response to request for assistance?
-If CSG coordinated the visit, was this assistance helpful?
Not at All 1 2
3
Please submit completed evaluations via email, fax, or U.S. mail to: Lauren Almquist | Council of State Governments | 100 Wall Street 20th Floor| New York, NY 10005 t. 646-383-5743 | f. 212-482-2344 |lalmquist@csg.org
III.
TECHNICAL ASSISTANT CONTENT
-How useful was the written information provided by the learning site? -How useful was the site visit? (if one occurred)
N/A
-How well matched was your jurisdiction to the learning site responding to your request?
IV.
Not at All 1 2
3
4
Very 5
Not at All 1 2
3
4
Very 5
Not at All 1 2
3
4
Very 5
SITE VISITS
If a site visit occurred: -What was the best aspect of the site visit?
-What was the most useful information obtained during the site visit?
-Did your team obtain unexpected knowledge or assistance from this visit? If so, what kind?
-Additional Comments: