Surverys for Qualitative Feedback for Individuals and Stakeholders

ORE Sample Surveys 120613.doc

Collection of Qualitative Feedback on Agency Service Delivery

Surverys for Qualitative Feedback for Individuals and Stakeholders

OMB: 3225-0002

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VERSION 1 (Perspectives on CSO Interaction)

CSOSA Customer Satisfaction Survey/Comment Card/Small Discussion Group for Persons on Supervision


CSOSA is very interested in your supervision experience. Your response and feedback to the following questions will help us do a better job. Participation in this survey is voluntary and confidential. Your CSO (Community Supervision Officer) will not know your responses.


Pick your level of agreement for each statement.


SD = Strongly Disagree

D = Disagree

N = Neither Agree or Disagree

A = Agree

SA = Strongly Agree


  1. My CSO involves me in decisions regarding my supervision. SD D N A SA


  1. My CSO assists me in finding services. SD D N A SA


  1. My CSO lets me know how I am doing on supervision. SD D N A SA


  1. When I meet with my CSO, I feel like we have enough

time together. SD D N A SA


  1. My CSO listens to me. SD D N A SA


  1. My CSO treats me respectfully when I meet with him or her. SD D N A SA


  1. I understand my supervision conditions. SD D N A SA


  1. I understand what will happen if I violate my

supervision conditions. SD D N A SA


  1. When visiting my CSO, the wait time in the lobby is

usually reasonable. SD D N A SA


Thank you!

VERSION 2 (Perspectives on CSO Help)

CSOSA Customer Satisfaction Survey/Comment Card/Small Discussion Group for Persons on Supervision


CSOSA is very interested in your supervision experience. Your response and feedback to the following questions will help us do a better job. Participation in this survey is voluntary and confidential. Your CSO (Community Supervision Officer) will not know your responses.


  1. What is your supervision type?

Probation

Parole

Supervised Release

Civil Protection Order

Deferred Sentence Agreement


  1. For your current supervision, how long have you been under supervision?

less than one month

less than one year

1 year – 3 years

more than 3 years


  1. How often are you supposed to meet with your Community Supervision Officer (CSO)?

twice a week

once a week

twice a month

once a month

report to kiosk, only meet with CSO as requested

don’t know


On a scale of 1 to 3, please rate how helpful your CSO (probation/parole officer) is in the following areas.


1 = NOT HELPFUL

2 = SOMEWHAT HELPFUL

3 = EXTREMELY HELPFUL


  1. Reducing attitudes that might lead to crime. 1 2 3


  1. Increasing educational opportunities. 1 2 3


  1. Offering job assistance or employment training. 1 2 3


  1. Learning new problem-solving skills. 1 2 3


  1. Developing an understanding of how crime impacts the community. 1 2 3


Thank you!

VERSION 3 (Perspective on Concerns)

CSOSA Customer Satisfaction Survey/Comment Card/Small Discussion Group for Persons on Supervision


CSOSA is very interested in your supervision experience. Your response and feedback to the following questions will help us do a better job. Participation in this survey is voluntary and confidential. Your CSO (Community Supervision Officer) will not know your responses.


On a scale of 1 to 3, please tell us how concerned you are about the following issues.

1 = NOT CONCERNED

2 = SOMEWHAT CONCERNED

3 = EXTREMELY CONCERNED

  1. Finding a job 1 2 3


  1. Transportation to-and-from CSOSA appointments 1 2 3


  1. Managing my finances 1 2 3


  1. Scheduling conflicts (work/school/CSOSA/other) 1 2 3


  1. Returning to high crime neighborhoods 1 2 3


  1. Resisting situations temptations to commit a crime 1 2 3


  1. Resisting the urge to use drugs or alcohol 1 2 3


  1. Rejection by members of the community or family members. 1 2 3


Thank you!

VERSION 4 (Perspectives on CSO Help and Concerns)

CSOSA Customer Satisfaction Survey/Comment Card/Small Discussion Group for Persons on Supervision


CSOSA is very interested in your supervision experience. Your response and feedback to the following questions will help us do a better job. Participation in this survey is voluntary and confidential. Your CSO (Community Supervision Officer) will not know your responses.


On a scale of 1 to 3, please rate how helpful your CSO (probation/parole officer) is in the following areas.


1 = NOT HELPFUL

2 = SOMEWHAT HELPFUL

3 = EXTREMELY HELPFUL


  1. Reducing attitudes that might lead to crime. 1 2 3


  1. Increasing educational opportunities. 1 2 3


  1. Offering job assistance or employment training. 1 2 3


  1. Learning new problem-solving skills. 1 2 3


  1. Developing an understanding of how crime impacts the community. 1 2 3


On a scale of 1 to 3, please tell us how concerned you are about the following issues.

1 = NOT CONCERNED

2 = SOMEWHAT CONCERNED

3 = EXTREMELY CONCERNED

  1. Finding a job 1 2 3


  1. Scheduling conflicts (work/school/CSOSA/other) 1 2 3


  1. Resisting the urge to use drugs or alcohol 1 2 3


Thank you!


VERSION 5 CSOSA Customer Service Survey for Criminal Justice System Stakeholders


CSOSA is very interested in your perspective on CSOSA’s performance. Your response and feedback to the following questions will help us do a better job. Participation in this survey is voluntary and confidential.


Please choose one answer for each of the following statements.


  1. CSOSA is effective in enhancing public safety in the District of Columbia.


Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree


  1. CSOSA has sufficient programming/services available to assist offenders with reintegration into the community.


Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree


  1. The programming/services available from CSOSA to assist offenders with reintegration are of high quality.


Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree


  1. CSOSA supports the fair administration of justice by providing timely and accurate information and to criminal justice decision-makers.


Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree


  1. CSOSA is an outstanding partner in serving your organization’s efforts.


Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree


VERSION 6 CSOSA Customer Service Survey for Community Stakeholders


We are very interested in your perspective on CSOSA. Your response and feedback to the following questions will help us do a better job. Participation in this survey is voluntary and confidential.


Please choose one answer for each of the following statements regarding today’s meeting.


  1. As a result of today’s meeting, I better understand the work CSOSA does to impact public safety.


Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree


  1. As a result of today’s meeting, my concerns about public safety have:


Increased Stayed about the Same Decreased


  1. I had sufficient opportunity at today’s meeting to share concerns/ask questions about public safety in my community.


Strongly Agree Agree Neither Agree or Disagree Disagree Strongly Disagree


File Typeapplication/msword
AuthorMary Poulin
Last Modified ByDiane Bradley
File Modified2013-12-06
File Created2013-12-06

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