IHS TDM Satisfaction Survey | Tribal Delegation Meetings (TDMs)

Indian Health Service
The Federal Health Program for American Indians and Alaska Natives

Purpose: The Indian Health Service (IHS) requests your feedback regarding the Tribal Delegation Meeting (TDM) held on:

Your feedback will be used for program improvement and performance monitoring purposes.

Estimated Time to Complete: 5 minutes

Participation: Voluntary

Meeting Information:

Area Office (if applicable):

Tribe/Tribal Organization:

Satisfaction Ratings: Please indicate the level of satisfaction with the following aspects of the TDM.

1. Communications: The timeliness and clarity of communications in setting up the TDM.
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied

2. Engagement and Respect: The IHS demonstrated meaningful engagement by listening toTribal perspectives, responding to questions, concerns, and respecting Tribal sovereignty,culture, and perspectives.
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied

3. Follow-Up: The clarity of follow-up actions, responsibilities, and next steps.
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied

4. Overall Satisfaction: Overall satisfaction with the TDM process.
Very Dissatisfied
Dissatisfied
Neutral
Satisfied
Very Satisfied

Meeting Outcomes

5. To what extent did the meeting achieve its intended purpose?
Fully
Partially
Not at all

6. To what extent were your concerns, recommendations, and priorities heard during the TDM?
Fully
Partially
Not at all

7. What aspects of the TDM worked well?

8. What improvements would you recommend for future TDMs?

9. Please provide any additional comments or recommendations.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is OMB No: 0917-0036. The time required to complete this information collection is estimated to average less than 10 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, to review and complete the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: Indian Health Service, OMS/DRA, 5600 Fishers Lane, Rockville, MD 20857, Attention: Information Collections Clearance Officer.

Questions? Email: IHSTribalDelegationMeeting@ihs.gov