OMB Control Number: 0970-0401, Expiration: 5/31/2018
( ) I am looking for information to help me in my work (please describe):___________________
( ) I am looking for State foster/adopt information lines
( ) I am looking for search/reunion resources on how to find/reunite with my birth parent, birth sibling, or my biological child
( ) I am looking for contact information for a support group in my area
( ) I am looking for information on how to add my agency/organization to your directory
( ) I am looking for contact information for State officials
( ) I am looking for some other type of information (please describe):___________________
( ) Foster care/adoption professional
( ) Birth parent
( ) Legal guardian/relative (e.g., grandparent)
( ) Foster/adoptive parent
( ) Prospective adoptive parent
( ) Adopted person
( ) Foster youth (current or former)
( ) Other (please describe):___________________
How did you first find out about the NFCAD? (Check one)
( ) Search engine (e.g., Google, Yahoo)
( ) Linked from another website
( ) Colleague or friend told me about it
( ) Social media (e.g., Facebook, Twitter)
( ) Mobile app search
( ) Referred by other organization
( ) Browsing Child Welfare Information Gateway’s website
( ) Other (please describe):___________________
( ) This is my first time
( ) More than once a week
( ) 1 to 4 times a month
( ) 1 to 4 times a year
( ) Less than once a year
Have you downloaded and used our new mobile app?
( ) Yes
( ) No
6a. If not, Interested? Find it by searching NFCAD in the App Store and for Android
at GooglePlay .
6b. If yes, how would you rate its usefulness?
Very useful (please explain):___________________
Useful (please explain): ___________________
Somewhat useful (please explain): ___________________
Not useful (please explain): ___________________
How do you intend to apply/use the information from NFCAD? (Check all that apply)
( ) Provide NFCAD with information about my agency's services and work
( ) Help me locate foster care and/or adoption agencies
( ) Help me find contact information for Foster Care and Adoption State officials
( ) Help me connect with support groups
( ) Assist in my efforts to find/reunite with my birth parent, birth sibling, or biological child
( ) Access foster care and adoption education and training resources
( ) Other intended application/use (please describe):___________________
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Please use the following space to explain your ratings.
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( ) Very satisfied
( ) Somewhat satisfied
( ) Neither satisfied nor dissatisfied
( ) Somewhat dissatisfied (please explain): __________________________________________
( ) Very dissatisfied (please explain): _______________________________________________
Please describe: ___________________
Please describe: ___________________
( ) Change website layout/interface (e.g., add more infographics)
Please describe: ___________________
( ) Other type of improvement
Please describe: ___________________
____________________________________________________________________________________________________________________________________________________________
Thank you for your response! We value your time and input!
Public reporting burden for this collection of information is estimated to be 5 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information. 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.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | 15058 |
File Modified | 0000-00-00 |
File Created | 2021-01-22 |