Regional Educational Laboratories (REL) Stakeholder Feedback Survey revision

SFS Modules Revised May 4, 2017

Regional Educational Laboratories (REL) Stakeholder Feedback Survey

Please take a few minutes to provide feedback about your experience with activities created by Regional Educational Laboratory (REL) <Insert Region Name>. Your responses are voluntary, will be used for program improvement purposes only, and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (Education Sciences Reform Act of 2002 [ESRA 2002] [Section 9573, 20 U.S. Code]). Your responses to this survey will be aggregated to inform future REL activities.

Activity: <insert activity title>

Research Partnership Affiliation (if applicable): <insert partnership name>

Survey Completion Date: _______________

Module 1: Coaching/Consultation Support Activity

For the questions below, please indicate the extent to which you agree or disagree with the following statements.

SD – I strongly disagree with this statement.

D – I disagree with this statement.

A – I agree with this statement.

SA – I strongly agree with this statement.

NA – Not applicable.

1. The coaching/consultation offered by the REL was relevant to a particular issue facing my agency or organization.	SD	D	A	SA	NA
2. The coaching/consultation offered by the REL increased my understanding of the topic.	SD	D	A	SA	NA
3. The coaching/consultation offered by the REL increased my understanding of the research and data available to examine this issue.	SD	D	A	SA	NA
4. The coaching/consultation offered by the REL increased my awareness of available research and data on this topic or issue.	SD	D	A	SA	NA
5. The coaching/consultation offered by the REL increased my understanding of the ways research and data can be used to investigate this issue.	SD	D	A	SA	NA
6. The coaching/consultation offered by the REL increased my capacity to use research and data to solve problems in my agency or organization.	SD	D	A	SA	NA
7. I would likely participate in additional support activities offered by the REL.	SD	D	A	SA	NA
8. I understood my role and the expectations for my participation in this project.	SD	D	A	SA	NA
9. My agency or organization received the appropriate level of support from the REL to implement this project.	SD	D	A	SA	NA
10. The benefits from this project were worth the time and resources my agency or organization invested to participate.	SD	D	A	SA	NA

11. What aspects of the coaching/consultation were most helpful and why?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

11. What aspects of the coaching/consultation were least helpful and why?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

11. What additional information, support, tools, or activities on this topic would help you apply the information to your own work?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

11. What part of this coaching/consultation would you suggest changing to make it better for future participants?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

11. As a result of coaching/consultation, I plan to take the following action steps:

a)________________________________________________________________________________ b)________________________________________________________________________________

c)________________________________________________________________________________

11. Please list more specific areas of need or interest to your agency or organization for future REL workshops or studies:

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

Module 2: In-person Technical Assistance Workshop, Training, or Bridge Event

For the questions below, please indicate the extent to which you agree or disagree with the following statements.

SD – I strongly disagree with this statement.

D – I disagree with this statement.

A – I agree with this statement.

SA – I strongly agree with this statement.

NA – Not applicable.

1. The goals for the workshop or training were clearly stated at or before the beginning of the event.	SD	D	A	SA	NA
2. The structure of the workshop or training was appropriate for meeting the stated goals.	SD	D	A	SA	NA
3. The research evidence was presented clearly and provided examples or practical suggestions for implementation.	SD	D	A	SA	NA
4. The format of the workshop or training provided ample opportunity for participants to meaningfully interact with each other.	SD	D	A	SA	NA
5. The workshop or training was relevant to an issue currently facing my agency or organization.	SD	D	A	SA	NA
6. The workshop or training has increased my capacity to use research or effectively incorporate data into decision making for my agency or organization.	SD	D	A	SA	NA
7. I expect to apply or share information from the workshop or training.	SD	D	A	SA	NA
8. I would likely participate in additional workshops or trainings offered by the REL.	SD	D	A	SA	NA
9. The benefits of attending this workshop or training were worth the time I invested.	SD	D	A	SA	NA

10. What aspects of the workshop or training were most helpful and why?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

10. What aspects of the workshop or training were least helpful and why?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

10. What additional information, support, tools, or activities on this topic would help you apply the information to your own work?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

10. What part of this workshop or training would you suggest changing to make it better for future participants?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

10. As a result of workshop or training, I plan to take the following action steps:

a)________________________________________________________________________________ b)________________________________________________________________________________

c) _______________________________________________________________________________

10. Please list more specific areas of need or interest to your agency or organization for future REL workshops or studies:

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

Module 3: Virtual Technical Assistance Workshop, Training, or Bridge Event

For the questions below, please indicate the extent to which you agree or disagree with the following statements.

SD – I strongly disagree with this statement.

D – I disagree with this statement.

A – I agree with this statement.

SA – I strongly agree with this statement.

NA – Not applicable.

1. The goals for the event were clearly stated at or before the beginning of the event.	SD	D	A	SA	NA
2. The structure of event was appropriate for meeting the stated goals.	SD	D	A	SA	NA
3. The research evidence was presented clearly and provided examples or practical suggestions for implementation.	SD	D	A	SA	NA
4. The event actively engaged me in learning the content.	SD	D	A	SA	NA
5. The event was relevant to an issue currently facing my agency or organization.	SD	D	A	SA	NA
6. The event has increased my capacity to use research or effectively incorporate data into decision making for my agency or organization.	SD	D	A	SA	NA
7. I expect to apply and share information from the event.	SD	D	A	SA	NA
8. I would likely participate in additional workshops or trainings offered by the REL.	SD	D	A	SA	NA
9. The benefits of attending this event were worth the time I invested.	SD	D	A	SA	NA

10. What aspects of the event were most helpful and why?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

10. What aspects of the event were least helpful and why?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

10. What additional information, support, tools, or activities on this topic would help you apply the information to your own work?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

10. What part of this event would you suggest changing to make it better for future participants?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

10. As a result of event, I plan to take the following action steps:

a)________________________________________________________________________________ b)________________________________________________________________________________

c) _______________________________________________________________________________

10. Please list more specific areas of need or interest to your agency or organization for future REL workshops or studies:

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

Module 4: Research Partnership Participation

For the questions below, please indicate the extent to which you agree or disagree with the following statements.

SD – I strongly disagree with this statement.

D – I disagree with this statement.

A – I agree with this statement.

SA – I strongly agree with this statement.

NA – Not applicable.

1. Participation in this research partnership has increased my capacity to use research or effectively incorporate data into decision making for my agency or organization.	SD	D	A	SA	NA
2. Participation in this research partnership has increased my agency’s/organization’s capacity to conduct high quality research and evaluation. (If applicable.)	SD	D	A	SA	NA
3. Participation in this research partnership has provided information that informed my agency’s/organization’s decision-making or relationships with partner agencies or organizations.	SD	D	A	SA	NA
4. Participation in this research partnership has led my agency or organization to participate in, design, or conduct an evaluation study. (If applicable.)	SD	D	A	SA	NA

5. What aspects of the Research Partnership were most helpful and why?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

5. What aspects of the Research Partnership were least helpful and why?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

5. What additional information, support, tools, or activities on this topic would help you apply the information to your own work?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

5. What part of this Research Partnership would you suggest changing to make it better for future participants?

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

5. As a result of Research Partnership, I plan to take the following action steps:

a)________________________________________________________________________________ b)________________________________________________________________________________

c) _______________________________________________________________________________

5. Please list more specific areas of need or interest to your agency or organization for future REL workshops or studies:

__________________________________________________________________________________________________________________________________________________________________

_________________________________________________________________________________

Respondent Information

1. Which of the following best describes your primary occupation? (Please choose only one.)

Local Education Agency

• Teacher/Educator

• Principal/Vice-Principal

• Other school-level administrator

• Librarian

• School board member

• School district central office staff

• School superintendent/Assistant superintendent

State Education Agency

• State-level education administrator

• State-level advisor or board member

• Other state-level staff

State Government

• State legislator or legislative staff member

Other

• Federal agency or program staff

• Nationwide agency, program, or TA provider

• Independent education consultant

• Community organizing / advocacy

• Staff member of an education or public policy organization

• Researcher

• Journalist, writer or reporter

• Other (Please specify):_______________

2. In which State/Territory is your work based? (drop down list if on-line)

Thank you for your feedback.

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