Form 1 Polling Questions

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

Polling questions for OMB_9.5.12

Polling Questions for CWIG

OMB: 0970-0401

Document [docx]
Download: docx | pdf

Child Welfare Information Gateway:

Polling Questions



  1. Which of the following best describes your professional background?

  • Prevention/Family support

  • Child protective services

  • Foster care/Foster parenting

  • Adoption

  • Other profession (please describe):___________

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

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


  1. How many years of service do you have in your current profession?

  • Less than 1 year

  • 1–5 years of service

  • 6–10 years of service

  • 11–15 years of service

  • 16+ years of service


  1. Do you work in a rural community?

  • Yes

  • No


  1. Has your organization/agency used [insert video campaign or social media] to promote [insert special initiative or topic]?

  • Yes, please describe and provide a link:

  • No


  1. How does your organization/agency commemorate [insert name of special initiative]? (open forum question)


  1. Please list the various ways your organization/agency uses social media? (open forum question)


  1. Which of the following best describes your organization/agency? (Check one)

      • Community-based organization/Faith-based organization

      • Local or county public agency

      • State agency

      • Federal agency

      • Legislature

      • Tribal agency/organization

      • CB T/TA Network

      • National organization (nonprofit, advocacy)

      • Educational institution (early education, K–12, college, university)

      • Other (Please describe)____________


  1. What types of resources are you looking for today to help you with your planning for [insert name of special initiative]?


  1. When do you start your [insert name of special initiative] planning?

  • 1-2 months before [insert name of special initiative]

  • 3-4 months before [insert name of special initiative]

  • 5-6 months before [insert name of special initiative]

  • 7-8 months before [insert name of special initiative]

  • 9-10 months before [insert name of special initiative]

  • 11-12 months before [insert name of special initiative]


  1. Does your organization/agency use [insert website tool/service]?

  • Yes

  • No

  • What’s a [insert name of tool/service]?


  1. Which of the following best describes how you use social networking sites?

  • I use social networking sites ONLY for personal use.

  • I use social networking sites ONLY for work.

  • I use social networking sites for both personal use AND for work.

  • I do not use social networking sites.


  1. Which statement most closely describes you? (select one)

  • I am skeptical of social media and do not use it at all.

  • I am skeptical of social media and do not use it at all.

  • I am curious about social media but have not used it yet.

  • I am curious about social media but have not used it yet.

  • I have tried social media but am not comfortable with it.

  • I have tried social media but am not comfortable with it.

  • I have tried social media but am just now beginning to use it personally.

  • I have tried social media but am just now beginning to use it personally.

  • I have tried social media but am just now beginning to use it professionally/for work/in my work.

  • I am using social media and consider myself a "beginner"

  • I am using social media and consider myself a "beginner"

  • I am using social media more often now and am comfortable with it.

  • I am using social media more often now and am comfortable with it.

  • I use social media tools and consider myself an "advanced" user.

  • I use social media tools and consider myself an "advanced" user.

  • I use social media as a regular part of my work or professional development.

  • I use social media as a regular part of my work or professional development.

  • I consider myself an "expert" when it comes to social media.


I consider myself an "expert" when it comes to social media.


  1. Which social media applications do you use and for what purpose?


 

Personal Only 

Professional Only 

Personal & Professional 

Not used 

Plan to use 

Facebook

Shape1

Shape2

Shape3

Shape4

Shape5

LinkedIn

Shape6

Shape7

Shape8

Shape9

Shape10

Twitter

Shape11

Shape12

Shape13

Shape14

Shape15

Pinterest

Shape16

Shape17

Shape18

Shape19

Shape20

YouTube

Shape21

Shape22

Shape23

Shape24

Shape25

FourSquare

Shape26

Shape27

Shape28

Shape29

Shape30

Blogs

Shape31

Shape32

Shape33

Shape34

Shape35

RSS News Feeds

Shape36

Shape37

Shape38

Shape39

Shape40

Google+

Shape41

Shape42

Shape43

Shape44

Shape45









  1. Please select the different ways you use social media for your work or profession (including your personal professional development. (select all that applyShape46

  • Professional networking

  • Exchange information with peer

  • Personal professional development

  • News and information

  • Promote my organization/agency

  • Job seeking

  • Research

  • Other, Please describe:

  • I do not use social media in my work or profession





  1. Please indicate how you feel about the technology you use.



 

Essential /

must have 

Like it 

Optional / not needed 

Plan to use 

Not Used 

Desktop computer at work

Shape47

Shape48

Shape49

Shape50

Shape51

Desktop computer at home

Shape52

Shape53

Shape54

Shape55

Shape56

Laptop computer at work

Shape57

Shape58

Shape59

Shape60

Shape61

Laptop computer at home

Shape62

Shape63

Shape64

Shape65

Shape66

Smartphone (able to access Internet)

Shape67

Shape68

Shape69

Shape70

Shape71

Standard mobile phone (no Internet access)

Shape72

Shape73

Shape74

Shape75

Shape76

Tablet (iPad or similar)

Shape77

Shape78

Shape79

Shape80

Shape81

Netbook

Shape82

Shape83

Shape84

Shape85

Shape86

Dedicated eBook reader (Kindle, Nook, etc.)

Shape87

Shape88

Shape89

Shape90

Shape91

Other (please describe)

Shape92

Shape93

Shape94

Shape95

Shape96










  1. Please select each item that describes your situation. (NOTE: Social media use refers to business or work related use.) (Select all that apply)

  • My employer prohibits access to social media at work

  • My employer allows limited access to social media at work

  • My employer encourages access to social media for work purposes only

  • My employer encourages the use of social media

  • My position requires the use of social media

  • My employer has NO policies governing the use of social media

  • My employer uses existing policies to govern the use of social media

  • My employer has specific social media use policies

  • My employer has a social media strategy/plan

  • My employer has a social media presence



  1. Please rank how you prefer to receive information



 

Most Preferred 

Acceptable 

Discouraged 

 

 

Mail (hard copy postal service)

Shape97

Shape98

Shape99

 

 

Email

Shape100

Shape101

Shape102

 

 

Website

Shape103

Shape104

Shape105

 

 

LinkedIn Group

Shape106

Shape107

Shape108

 

 

Facebook Fan Page / Group

Shape109

Shape110

Shape111

 

 

Google or YahooGroup

Shape112

Shape113

Shape114

 

 

Association Members Only group

Shape115

Shape116

Shape117

 

 

Electronic Newsletter

Shape118

Shape119

Shape120

 

 

SMS Text Message

Shape121

Shape122

Shape123

 

 

Live, Face to Face meetings

Shape124

Shape125

Shape126

 

 




  1. Does your organization/agency plan to increase their use of social media in the next year?

  • Yes, my organization/agency plans to increase their social media use in the next year.

  • My organization/agency’s social media will remain the same in the next year.

  • I expect my use of technology will decline in the next 3 years

  • No, my organization/agency plans to decrease their social media use in the next year.

  • I’m unsureI expect my use of technology will increase in the next 3 years






File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
Author15058
File Modified0000-00-00
File Created2021-01-30

© 2024 OMB.report | Privacy Policy