Public Website and Public Website and TA Gateway Feedback Forms

Attachment 5: NRC Public Website and Technical Assistance (TA)

Gateway User Feedback Forms

OMB No. 0930-0197

Expiration Date: 1/31/2017

Public Burden Statement: 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 OMB control number for this project is 0930-0197.  Public reporting burden for this collection of information is estimated to average 8 minutes per respondent, per year, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information.  Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to SAMHSA Reports Clearance Officer, 5600 Fishers Lane, Room 15E57-B, Rockville, Maryland, 20857.

NRC Public Website and Technical Assistance (TA)

Gateway User Feedback Forms

The National Resource Center for Mental Health Promotion and Youth Violence (NRC) engages and offers resources to the field through its public website (www.healthysafechildren.org) and to the SS/HS and Project LAUNCH grantees through the secure Technical Assistance Gateway (TA Gateway) (https://healthysaechildren.groupsite.com).

The NRC uses brief online feedback forms to gauge user feedback to continuously improve the usefulness and functionality of the NRC public website and password protected-TA Gateway. The NRC has customized, clickable “buttons” on selected pages of the public website and TA Gateway to direct users to the brief online surveys. Specifically, the survey on each page of the public website seeks feedback on page-specific content; the survey on the TA Gateway seeks overall feedback on the entire TA Gateway. Further, because SS/HS and Project LAUNCH grantees have separate access to the TA Gateway that shares the same web platform, there are separate surveys for SS/HS and Project LAUNCH grantees that ask parallel questions.

The NRC administers the online feedback form on an ongoing basis using the Drupal platform for the public website and SurveyMonkey for the TA Gateway. The NRC will capture and export survey data in an Excel format for analysis and reporting.

NRC Public Website User Feedback Form

1. Are you a:

• SS/HS grantee

• Project LAUNCH grantee

• Other SAMHSA grantee

• Other (please specify) ____________________

2. Was this page useful?

• Yes

• No

3. This webpage was easy to navigate.

• Strongly disagree

• Disagree

• Agree

• Strongly agree

4. The webpage answered the questions I had about this topic.

• Strongly disagree

• Disagree

• Agree

• Strongly agree

5. I would recommend this website to others.

• Strongly disagree

• Disagree

• Agree

• Strongly agree

Comments:

[Open Text Box Here]

Thank you for your feedback. Your participation is completely voluntary and confidential.

NRC [insert grant program name] TA Gateway Feedback Form

1. Are you a:

For SS/HS use:

• Current SS/HS grantee

• SS/HS grantee alum

• Other SAMHSA grantee

• Other (please specify) ____________________

For Project LAUNCH use:

• Current Project LAUNCH grantee

• Project LAUNCH grantee alum

• Other SAMHSA grantee

• Other (please specify) ____________________

2. Was the TA Gateway useful?

• Yes

• No

3. The TA Gateway was easy to navigate.

• Strongly disagree

• Disagree

• Agree

• Strongly agree

4. The TA Gateway provided the information or resources I was seeking.

• Strongly disagree

• Disagree

• Agree

• Strongly agree

5. I would recommend the TA Gateway to other project staff.

• Strongly disagree

• Disagree

• Agree

• Strongly agree

Additional comments on how to improve the TA Gateway:

[Open Text Box Here]

Thank you for your feedback. Your participation is completely voluntary and confidential.

Attachment 5 3