Form Approved
0990-0379
Exp. Date: XX/XX/XX2X
Office of Adolescent Health (OAH)
Annual Grantee Satisfaction Survey
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0990-0379. The time required to complete this information collection is estimated to average 20 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of Health & Human Services, OS/OCIO/PRA, 200 Independence Ave., S.W., Suite 336-E, Washington D.C. 20201, Attention: PRA Reports Clearance Officer.
Office of Adolescent Health (OAH)
Annual Grantee Satisfaction Survey
E-mail Transmittal Script and Instructions
Dear OAH Grantee:
You have received this survey, because your organization has one or more federal awards (grant or cooperative agreement) funded by the Office of Adolescent Health. If your organization has more than one OAH award, you will receive a separate survey for each grant.
The purpose of this survey is to assess your satisfaction with OAH grantee support, communications, and other resources. We are also interested in your suggestions for how to improve the services, technical assistance (TA) products, and support from OAH and our contactors. OAH plans to use the results of the survey for continuous quality improvement efforts, including more effective customer service and to identify areas for improvement.
If you have more than one federal award from OAH, please complete a separate survey for each grant project. To provide your feedback, please visit: https://www.surveymonkey.com/r/[survey code].
Please take the time to complete the survey. It should take about 20 minutes per grant project. If you have questions about this survey, please email Dr. Suzanne Randolph Cunningham at [email protected].
Please submit your responses by [DATE/TIME]. Thank you for your participation.
Survey Script and Instructions
INTRODUCTION
You have received this survey, because your organization has one or more federal awards (grant or cooperative agreement) funded by the Office of Adolescent Health. If your organization has more than one OAH award, you will receive a separate survey for each grant.
The purpose of this survey is to assess your satisfaction with OAH grantee support, communications, and other resources. We are also interested in your suggestions for how to improve the services, technical assistance (TA) products, and support from OAH and our contactors. OAH plans to use the results of the survey for continuous quality improvement efforts, including more effective customer service and to identify areas for improvement.
INSTRUCTIONS
If you have more than one federal award from OAH, please complete a separate survey for each grant project. Feel free to consult with others within your organization on each of your grant projects, but only submit one survey per grant.
Your participation is voluntary and confidential. You can skip any item. Please provide honest responses and complete information. Your responses will not affect your current award or your eligibility for, or receipt of, future services or funding.
Do not put your name or organization’s name on the survey. Results will be reported to OAH in a manner that does not identify information about an individual or an organization and to be used only for the purposes of continuous quality improvement. Aggregated results may be used by OAH to share with selected stakeholders (e.g., grantees, federal partners) for the purposes of knowledge-sharing and improving processes.
Please take the time to complete the survey. It should take about 20 minutes per grant project. If you have questions about this survey, please email Dr. Suzanne Randolph Cunningham at [email protected].
Please submit your responses by [DATE/TIME]. Thank you for your participation.
BACKGROUND INFORMATION
How many federal awards (grant or cooperative agreement) do you have from OAH? [Note: If you have more than one federal award, please complete this survey for each.]
__ 1
__ 2
__ 3
__ 4
Please select your grant type:
__ Pregnancy Assistance Fund (PAF)
__ FY 2015 Teen Pregnancy Prevention (TPP) –if checked, also select which Tier:
__Tier 1A
__Tier 1B
__Tier 2A
__Tier 2B
__ FY 2018 Teen Pregnancy Prevention (TPP)
__Tier 2 Phase 1
Is this your first OAH grant?
__ Yes
__ No
OAH GUIDANCE AND TECHNICAL ASSISTANCE
Project Officer Monitoring and Support
Please rate your satisfaction with the guidance received from your Project Officer in the following areas:
Satisfaction with |
Very |
Satisfied |
Not |
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Not |
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Programmatic Guidance and Project Officer Feedback
Please consider written communications and resources that you have received from OAH and rate your level of agreement with the statements below:
OAH Funding Opportunity Announcements (FOA) |
Strongly agree |
Agree |
Neutral |
Disagree |
Strongly disagree |
Not |
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OAH Progress Report & Continuation Application Guidance |
Strongly agree |
Agree |
Neutral |
Disagree |
Strongly disagree |
Not |
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Project Officer Feedback on Progress Reports |
Strongly agree |
Agree |
Neutral |
Disagree |
Strongly disagree |
Not |
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Project Officer Feedback on Continuation Applications |
Strongly agree |
Agree |
Neutral |
Disagree |
Strongly disagree |
Not |
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Project Officer Site Visit |
Strongly agree |
Agree |
Neutral |
Disagree |
Strongly disagree |
Not |
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Other OAH Staff/Contractor Support: Please rate your satisfaction with the guidance and support received from other OAH staff (i.e., Evaluation Team, MAX Core Team).
Satisfaction
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Very |
Satisfied |
Not |
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Very |
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OAH Technical Assistance: For the next set of OAH Technical Assistance Supports, please indicate how often you participated and overall how satisfied you were with the support:
Group TA Calls |
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Always |
Very often |
Often |
Sometimes |
Never |
Not applicable |
a. How often did you participate? |
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Very satisfied |
Satisfied |
Not Sure |
Dissatisfied |
Very dissatisfied |
Not applicable |
b. How satisfied were you? |
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Webinars |
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Always |
Very often |
Often |
Sometimes |
Never |
Not applicable |
a. How often did you participate? |
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Very satisfied |
Satisfied |
Not Sure |
Dissatisfied |
Very dissatisfied |
Not applicable |
b. How satisfied were you? |
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Individual TA |
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Always |
Very often |
Often |
Sometimes |
Never |
Not applicable |
a. How often did you participate? |
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Very satisfied |
Satisfied |
Not Sure |
Dissatisfied |
Very dissatisfied |
Not applicable |
b. How satisfied were you? |
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In-person training |
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Always |
Very often |
Often |
Sometimes |
Never |
Not applicable |
a. How often did you participate? |
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Very satisfied |
Satisfied |
Not Sure |
Dissatisfied |
Very dissatisfied |
Not applicable |
b. How satisfied were you? |
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OAH TA Products
Have you used any OAH-developed TA products (e.g., tip sheets, online learning modules, TA briefs) in the current budget period?
____Yes
____No (will auto-skip to Q13)
How do you hear about OAH’s TA product(s)? Check all that apply.
__ MAX.gov
__ OAH website search
__ OAH Grantee Digest
__ Other (please specify)
Which OAH TA products (click here to view) have you found most helpful this past year? Please list up to three.
[Text Box]
[Text Box]
[Text Box]
How often would you say you use OAH TA products (click here to view)?
__ Never
__ Frequently (1-2 times a month)
__ Seldom (1-2 times a quarter)
__ Rarely (1-2 times a year)
What format for the OAH TA products do you find most helpful? (Check all that apply)
__ Printable pdfs
__ Web text
__ Tip sheets
__ e-Learning modules
__ Checklists
__ Toolkits
__ Other (please specify)
Overall Guidance and Technical Assistance Feedback
Please describe how the support and technical assistance you received from OAH has affected your project. [Text Box]
Use this space to provide any suggestions for improving support from OAH project officers, staff and/or contractors. [Text Box]
Use this space to provide any suggestions for improving OAH programmatic guidance and/or technical assistance. [Text Box]
Web-Based Communications/Resources
MAX.gov
Please indicate the extent to which you agree with these statements about the components of OAH MAX 2.0 (click her to view):
OAH MAX 2.0: |
Strongly
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Agree |
Not
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Disagree |
Strongly
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Have not used/done yet |
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How satisfied are you with OAH MAX 2.0?
Satisfaction with MAX.gov |
Very |
Satisfied |
Not |
Dissatisfied |
Very |
Not |
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Performance Measures
The next set of items is about your project’s perceptions of the Performance Measures (PMs) and the PM database.
Please indicate the extent to which you agree with these statements about the performance measures (PMs), PM database, and support you receive to submit the PMs:
Performance
Measures (PM) |
Strongly
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Agree |
Not
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Disagree |
Strongly
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Have not used/done yet |
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OAH Website
This next set of questions is about the OAH website, available at: https://www.hhs.gov/ash/oah/.
How often have you used the OAH website in the past grant year?
__ Never (skip to Q27 after table)
__ Monthly
__ Weekly
__ Daily
__Other (please specify)
Please indicate how useful resources in the following sections of the OAH website have been for your project in the past year. (Check “not used” if you have not used the resource).
Usefulness of OAH Website Resources |
Very |
Useful |
Somewhat |
Not at all |
Not used |
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TPP and PAF Online Resource Center
Please rate your satisfaction with the information and resources provided in the TPP and PAF Online Resource Center?
Satisfaction with TPP and PAF Online Resource Center’s: |
Very |
Satisfied |
Not |
Dissatisfied |
Very |
Not |
a. Organization of information |
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b. Sufficiency of resources to meet your program needs |
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c. Relevance to your areas of need |
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d. Comprehensiveness in addressing the scope of issues that you face |
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Grantee Digest
22. How often do you read the OAH Grantee Digest email?
__ Every week
__ Most weeks (3 times a month)
__ Some weeks (1-2 weeks a month)
__ Never (SKIP to Q24)
23. Please rate your satisfaction with the information and resources provided in the Grantee Digest:
Satisfaction with Grantee Digest |
Very |
Satisfied |
Not |
Dissatisfied |
Very |
Not |
a. Organization of information |
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b. Sufficiency of detail to meet your program needs |
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c. Relevance to your areas of need |
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d. Comprehensiveness in addressing the scope of issues that you face |
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OAH Twitter (@TeenHealthGov)
How useful do you find the information and resources shared on @TeenHealthGov?
Usefulness
of OAH |
Very |
Useful |
Not |
Somewhat
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Not at
all |
Not |
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Overall Digital Communications/Resources (i.e., web, email, and social media) Feedback
Use this space to provide any suggestions for improving OAH web-based communications/resources.
[Text Box]
OVERALL SATISFACTION WITH OAH’S RESOURCES AND SUPPORT
Overall, how satisfied are you with OAH’s services, supports, resources, and guidance for your grant project?
Overall Satisfaction with OAH services, supports, resources, and guidance |
Very |
Satisfied |
Not Sure |
Dissatisfied |
Very |
Not |
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DEMOGRAPHIC QUESTIONS
Which of the following BEST describes your organization? (Check one)
__ American Indian tribal government or tribal organization
__ Educational institution
__ For-profit organization
__ Hospital/Clinic
__ Local government agency (city, town, county)
__ Non-profit organization
__ State government agency
__ Other (please specify) [Text box]
Thank you for your cooperation.
If you have to report on another grant, please complete a separate survey.
DONE
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |