Form 0970-0303 Appendix L_Online Tool / Web Section Survey

Child Welfare Information Gateway

Appendix L_Online tool Web section survey

Online tool / Web section survey - Private

OMB: 0970-0303

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Public reporting burden for this collection of information is estimated to be 3 minutes per response to complete this questionnaire. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information unless it displays a currently valid OMB control number. The control number for this project is 0970-0303. The control number expires on XX/XX/XXXX.


Online Tool / Web Section Survey


Tool / Section Title:______________________________________________________________

Please rate your agreement with the following statements using this scale:

SD – Strongly disagree

D – Disagree

N – Neither agree nor disagree

A – Agree

SA – Strongly agree

NA – Not applicable

I am satisfied with the information found in <insert name of tool/section>

SD

D

N

A

SA

NA

<insert name of tool/section> is easy to use and understand.

SD

D

N

A

SA

NA

I like the way the information from <insert name of tool/section> is displayed.

SD

D

N

A

SA

NA

I will share <insert name of tool/section> with others.

SD

D

N

A

SA

NA

1. How are you using or do you intend to use the information in <insert name of tool/section>? (Check one)

  • Provide information for families

  • Research

  • Service delivery

  • Professional development

  • Program improvement

  • Fundraising/grant writing

  • Policy development

  • Public awareness

  • Other: __________________________________

  • Personal use (personal situation, school report)

  1. Do you plan to use this information to train others: Yes No (drop down)

  2. What would have made <insert name of tool/section> more helpful to you?

  1. How did you learn about <insert name of tool/section>? (Check one)

  • Child Welfare Information Gateway E-lert! (email/listserv notification)

  • Child Welfare Information Gateway website

  • Conference

  • Facebook

  • Other organization’s website or publication

  • Referred by a colleague/friend

  • Other: ___________________________________

  1. Which of the following best describes your professional background or role in the child welfare field? (Check one)

  • CPS/Child welfare/Foster care professional

  • Child abuse prevention/Family support professional

  • Adoption professional

  • Educator/Faculty

  • Other professional:___________________

  • Student (e.g., K-12 or University)

  • None of the above – I contacted Information Gateway for personal and NOT professional reasons.


  1. In which State/territory is your work geographically located? (drop down list)____________


  1. Do you work in a State, county, or community based agency/organization? Yes No (drop down)


  1. Do you work with American Indian/Alaska Native/Native Hawaiian populations? Yes No (drop down)


File Typeapplication/msword
File TitleAPPENDIX A:
AuthorICF
Last Modified ByICF
File Modified2010-06-24
File Created2010-06-07

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