2022 Midwest Stream Forum Feedback Form Survey

	Not at all satisfied	Somewhat satisfied	Moderately satisfied	Very satisfied	Extremely satisfied
Overall content of the forum	Overall content of the forum Not at all satisfied	Overall content of the forum Somewhat satisfied	Overall content of the forum Moderately satisfied	Overall content of the forum Very satisfied	Overall content of the forum Extremely satisfied
Networking opportunities	Networking opportunities Not at all satisfied	Networking opportunities Somewhat satisfied	Networking opportunities Moderately satisfied	Networking opportunities Very satisfied	Networking opportunities Extremely satisfied
Use of Whova app	Use of Whova app Not at all satisfied	Use of Whova app Somewhat satisfied	Use of Whova app Moderately satisfied	Use of Whova app Very satisfied	Use of Whova app Extremely satisfied
COVID-19 safety protocols	COVID-19 safety protocols Not at all satisfied	COVID-19 safety protocols Somewhat satisfied	COVID-19 safety protocols Moderately satisfied	COVID-19 safety protocols Very satisfied	COVID-19 safety protocols Extremely satisfied

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* 2. Do you have any comments on your above ratings?

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* 3. Please rate your satisfaction regarding communication

	Not at all satisfied	Somewhat satisfied	Moderately satisfied	Very satisfied	Extremely satisfied
Communication and messaging from NCFH prior to event	Communication and messaging from NCFH prior to event Not at all satisfied	Communication and messaging from NCFH prior to event Somewhat satisfied	Communication and messaging from NCFH prior to event Moderately satisfied	Communication and messaging from NCFH prior to event Very satisfied	Communication and messaging from NCFH prior to event Extremely satisfied
Communication and messaging from NCFH during the event	Communication and messaging from NCFH during the event Not at all satisfied	Communication and messaging from NCFH during the event Somewhat satisfied	Communication and messaging from NCFH during the event Moderately satisfied	Communication and messaging from NCFH during the event Very satisfied	Communication and messaging from NCFH during the event Extremely satisfied
Communication and messaging through the Whova app	Communication and messaging through the Whova app Not at all satisfied	Communication and messaging through the Whova app Somewhat satisfied	Communication and messaging through the Whova app Moderately satisfied	Communication and messaging through the Whova app Very satisfied	Communication and messaging through the Whova app Extremely satisfied

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* 4. Do you have any comments on your above ratings?

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* 5. Please select the degree to which you agree with the following statements.

	Strongly disagree	Disagree	Neutral	Agree	Strongly agree
The information and/or skills I learned at the Stream Forum will be helpful in improving my work performance.	The information and/or skills I learned at the Stream Forum will be helpful in improving my work performance. Strongly disagree	The information and/or skills I learned at the Stream Forum will be helpful in improving my work performance. Disagree	The information and/or skills I learned at the Stream Forum will be helpful in improving my work performance. Neutral	The information and/or skills I learned at the Stream Forum will be helpful in improving my work performance. Agree	The information and/or skills I learned at the Stream Forum will be helpful in improving my work performance. Strongly agree
The content at the Stream Forum will assist me in working with the Migrant and Seasonal Agricultural Worker population.	The content at the Stream Forum will assist me in working with the Migrant and Seasonal Agricultural Worker population. Strongly disagree	The content at the Stream Forum will assist me in working with the Migrant and Seasonal Agricultural Worker population. Disagree	The content at the Stream Forum will assist me in working with the Migrant and Seasonal Agricultural Worker population. Neutral	The content at the Stream Forum will assist me in working with the Migrant and Seasonal Agricultural Worker population. Agree	The content at the Stream Forum will assist me in working with the Migrant and Seasonal Agricultural Worker population. Strongly agree

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* 6. What two key concepts would you like to take back to implement at your organization?

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* 7. What additional tools or resources do you need to be able to implement these concepts?

Training

Technical assistance

Educational resources

Data & research

Funding

Staff

Support from my organization’s leadership

Partnerships/collaborations with other organizations

Other (please specify)

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* 8. How confident are you that you will be able to apply information from this event at your health center/organization?

Not at all confident

Somewhat confident

Moderately confident

Very confident

Extremely confident

Not at all confident

Somewhat confident

Moderately confident

Very confident

Extremely confident

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* 9. Please state what you most enjoyed at this year’s conference:

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* 10. Please share one recommendation that could have improved your overall conference experience.

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* 11. Please mark the topics that are of most interest to you for sessions at the next Stream Forum. Check all that apply.

Board/CEO Issues

Cancer

Cardiovascular Health

Cultural Competency /Humility

Health Equity

Oral Health

Diabetes

Employee Motivation/Retention

Environmental Health & Safety

Family Planning

Family and/or Domestic Violence

Grants Acquisition/Management

Grassroots Organizing

Health literacy

HIV/AIDS

Hypertension

Immigration Issues

Immunizations/Communicable Diseases

Lay Health Worker Programs

Language Access

Maternal/Child Health

Men’s Health

Mental Health

Occupational Health & Safety

Outreach/Referral

Research

Sexually Transmitted Diseases

Social Determinants of Health

Substance Misuse

Tuberculosis

Women's Health

Worker Protection Standards

Leadership Development

Managing Multiple Priorities

Group Meeting Dynamics

Public Speaking

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* 12. Please list other topics or suggested speakers for future conferences:

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* 13. Let us know your top two locations for future Midwest Stream Forums:

South Padre Island, TX

San Antonio, TX

Albuquerque, NM

New Orleans, LA

Indianapolis, IN

Kansas City, MO

Salt Lake City, UT

Other (must be in the Midwest Region)

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* 14. Do you work at a Community/Migrant Health Center?

Yes

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* 15. What is your position at your organization?

Administrator

Clinician

Outreach Staff

Promotor/a de Salud / Community Health Worker

Board Member

Other (please specify)

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* 16. Please include your name and email below if you want to enter a raffle for a FREE registration to next year’s Midwest Stream Forum

Name

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* 17. Would you be willing to provide additional feedback on your organization’s training needs and preferences? (it takes about 2 minutes to complete)

Yes

2022 Midwest Stream Forum Feedback Form

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* 1. Please rate your satisfaction with the following elements of the Midwest Stream Forum

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* 2. Do you have any comments on your above ratings?

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* 3. Please rate your satisfaction regarding communication

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* 4. Do you have any comments on your above ratings?

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* 5. Please select the degree to which you agree with the following statements.

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* 6. What two key concepts would you like to take back to implement at your organization?

Question Title

* 7. What additional tools or resources do you need to be able to implement these concepts?

Question Title

* 8. How confident are you that you will be able to apply information from this event at your health center/organization?

Question Title

* 9. Please state what you most enjoyed at this year’s conference:

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* 10. Please share one recommendation that could have improved your overall conference experience.

Question Title

* 11. Please mark the topics that are of most interest to you for sessions at the next Stream Forum. Check all that apply.

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* 12. Please list other topics or suggested speakers for future conferences:

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* 13. Let us know your top two locations for future Midwest Stream Forums:

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* 14. Do you work at a Community/Migrant Health Center?

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* 15. What is your position at your organization?

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* 16. Please include your name and email below if you want to enter a raffle for a FREE registration to next year’s Midwest Stream Forum

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* 17. Would you be willing to provide additional feedback on your organization’s training needs and preferences? (it takes about 2 minutes to complete)