Form 1 Adoption Triad

OMB Control Number: 0970-0401, Expiration: 5/31/2018

DRAFT: Adoption Triad Survey

1. Which of the following best describes your professional background or role? (Check one.)

• Adoption professional

• Prevention/family support professional

• Child protective services professional

• Foster care 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): ____________

2. 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): ____________

3. Which of the following best describes your workplace? (Check one.)

• Local or county public agency

• State agency

• Tribal agency/organization

• Federal agency

• Private agency/organization (e.g., community-based/faith-based organization)

• National organization (e.g., nonprofit, advocacy)

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

• Other (please describe): ____________

4. How did you first find out about the Adoption Triad newsletter? (Check one.)

• Search engine (e.g., Google, Yahoo)

• Linked from another website

• Colleague or friend told me about it

• Referred by other organization (please describe): ____________

• Browsing Child Welfare Information Gateway’s website

• Other (please describe): ____________

5. Please select the electronic subscriptions that you currently receive on behalf of the Children’s Bureau and/or Child Welfare Information Gateway. (Check all that apply.)

• Children’s Bureau Express

• Child Welfare In the News

• My Child Welfare Librarian

• E-lert!

• Other (please describe): ____________

• Not applicable, I do not receive any of these subscriptions.

6. How frequently do you read Adoption Triad newsletters?

• I read the newsletter every month

• I read the newsletter a few times a year

• I read the newsletter less than once a year

• I’ve never read the newsletter before

7. What topics and types of information are you most interested in reading about in future Adoption Triad newsletters? (Check all that apply.)

• Adoption education and training resources

• Resources to support adoptive parents

• Information on identifying, recruiting, and retaining prospective adoptive families

• Training information for prospective adoptive families

• Information to assist in my efforts to find/reunite with my birth parent, birth sibling, or biological child

• Resources to learn more about ways to adopt

• Other types of information/resources (please describe): ________________

8. On a scale of 5 (strongly agree) to 1 (strongly disagree), please rate your level of agreement with the following statements regarding the Adoption Triad newsletter:

The Adoption Triad newsletter offers…	1-Strongly disagree	2-Disagree	3-Neither agree nor disagree	4- Agree	5-Strongly agree	N/A
Content that meets my needs	( )	( )	( )	( )	( )	( )
Information topics that are applicable to my work	( )	( )	( )	( )	( )	( )
Credible and accurate information	( )	( )	( )	( )	( )	( )
Adequate detail in articles	( )	( )	( )	( )	( )	( )

9. Overall, how satisfied are you with the Adoption Triad newsletter?

• Very satisfied

• Somewhat satisfied

• Neither satisfied nor dissatisfied

• Somewhat dissatisfied

• Very dissatisfied

10. What suggestions do you have for improving the Adoption Triad newsletter?

11. Do you have any additional comments? __________________

Thank you for your participation.

Your time and input are greatly appreciated.

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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.