Public reporting burden for this collection of information is estimated to be 5 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 0970-0401. The control number expires on 5/31/2018.
Please describe why you are visiting the [insert name of special initiative] website.
Overall, how satisfied are you with your interaction with Child Welfare Information Gateway?
Very satisfied
Somewhat satisfied
Neither satisfied nor dissatisfied
Somewhat dissatisfied (please explain):
Very dissatisfied (please explain):
Is this your first time visiting the [insert name of special initiative] website?
Yes - If so, how did you hear about us?
No - If not the first time, how many times?
1-4
5-10
More than 10
Which of the following best describes your background or role?
Prevention/family support
Child protective services
Foster care
Adoption
Youth services
Juvenile justice
Health/mental health Substance use
Legal/courts (e.g. GAL, CASA, attorney)
Researcher/evaluator/consultant
Early childhood educator (0–5yrs)
Teacher (K–12)
Professor/faculty (higher education)
Kinship caregiver (optional response option)
Training specialist (optional response option)
Licensing specialist (optional response option)
Foster youth (current or former) (optional response option)
Student (optional response option)
Prospective Adoptive Parent (optional response option)
Kinship caregiver (optional response option)
Training specialist (optional response option)
Licensing specialist (optional response option)
Foster/Adoptive Parent (optional response option)
Other (please describe):
Which of the following best describes your workplace? (Check one.)
Local or county public agency
State agency
Tribal agency/organization
Federal agency
Community-based/faith-based organization
National organization (e.g., nonprofit, advocacy)
Training and technical assistance service provider
Educational institution (early education, K–12, college, university)
Other (Please describe.)
Which of the following best describes your position? (Check one.)
Frontline worker (e.g., caseworker, direct service worker)
Supervisor/manager
Director/administrator
Training Specialist
Other (Please describe.)
How useful are the information and resources available on the [insert name of special initiative] website?
Very useful (Please explain.)
Useful (Please explain.)
Somewhat useful (Please explain.)
Not useful (Please explain.)
On a scale of 1 (poor) to 5 (excellent), please rate the following regarding the [insert name of special initiative] website
Ease of finding information on the website
Website organization
Appeal of the website design
Content that matches my needs
The following tools are available to help you and your organization/agency promote [insert name of special initiative]. For each tool, please indicate whether or not you and your organization/ agency have used it or intend to use it to promote [insert name of special initiative]. (Check all that apply and indicate how you intend to use each).
Widgets
Sample signature blocks
Sample email messages
Sample social media messages
Library search
Frequently Asked Questions (optional response option)
Meet older youth feature (optional response option)
AdoptUSKids Illustration (optional response option)
National and State PSAs (optional response option)
Voices of Older Youth Videos (optional response option)
National Foster Care Month Graphics (Infographic, FB banner, etc.) (optional response option)
National Foster Care Month FAQs (optional response option)
Sample proclamations (optional response option)
National Child Abuse Prevention Month calendars (optional response option)
Do you have any additional comments or suggestions?
Optional Survey Questions
Did you access any of the [resource specific to the initiative] on the [insert name of special initiative] website?
Yes (If yes, tell us how you intend to use the [resource specific to initiative] and provide any comments or suggestions).
No
I don’t remember
This year’s theme for our [insert name of special initiative] is [insert current theme]. Do you have suggestions for next year’s theme?
Please select the various ways in which you (or your work) might be affected if the [insert name of special initiative] website did not exist.
It would take me longer to find information, resources, or tools to promote [insert name of special initiative].
It would cost more money to get the information, resources, or tools I need to promote [insert name of special initiative].
It would be more difficult to share information, resources, or tools with others about [insert name of special initiative].
It would be more difficult to train staff and colleagues about [insert name of special initiative].
I would not have adequate access to publications and products on [insert name of special initiative].
It would affect me in other ways. (Please describe)
It would not affect me
Please rate your agreement with the following statements. (Strongly agree; Agree; Neutral; Disagree; Strongly disagree; N/A)
The [insert name of special initiative] website promotes public awareness about [issues specific to initiative]
The [insert name of special initiative] website promotes the social and emotional well-being of children and families.
The [insert name of special initiative] website enhances services for children and families.
The [insert name of special initiative] website increased my knowledge about [issues specific to initiative]
How do you intend to use the resources offered on the [insert name of special initiative] website? (Check all that apply and please provide details)
Increase my knowledge or inform my attitudes
Share with families and/or clients
Share with professionals or colleagues
Support public awareness or advocacy efforts
Share in a formal training environment
Support practice improvement and/or sustain good practice
Implement, sustain, or improve programs (e.g., program management, logic model development, program evaluation)
Support policy change and/or sustain good policies
Conduct research or evaluation
Grant writing/fundraising
My own professional development
Personal use
Other (please describe):
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Pho, Hung |
File Modified | 0000-00-00 |
File Created | 2021-01-22 |