Region 10 and Alaska Native T/TA Network Feedback Form

The T/TA staff would like your feedback to help guide high quality services to your program.
Thank you for your time and comments.

Date of TA Activity
Program(s) Involved
TA Staff Involved
Format of TA activity

1. What about today's session was of most value to you?

2. How would you like the TA network to follow up on today's session?

3. How satisfied are you with today’s session?

[ ] Not at all
[ ] Somewhat
[ ] Largely
[ ] Very

Other Comments/Feedback:

Please fax this form to (206) 615-3899, email eugene.gousie@acf.hhs.gov, or mail it to: Gene Gousie, Region 10 T/TA Network, 2201 Sixth Avenue, MS 71, Seattle, WA 98121