1 PIPPilot PreonsiteFeedbackSurvey

CFSR PIP Pilot: Pre-Onsite Feedback Survey

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average 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. The control number for this project is 0970-0401. The control number expires on 5/31/2021.

The Capacity Building Collaborative is conducting an evaluation of the Round 3 Child and Family Services Review (CFSR) Program Improvement Plan (PIP) Pilots. Please provide feedback about your experience in preparing for the PIP Pilot on-site meeting. This feedback will be used to inform the onsite meeting and other PIP process improvements. All information you provide is voluntary and anonymous. The survey should take about 5 minutes to complete. If you have any questions, please contact Christine Leicht, Capacity Building Center for States Evaluation Lead at [email protected].

1. Which of the following best describes your agency role? (Select One)

   1. Public Agency Director/Deputy Director

   2. Public Agency Program/Middle Manager

   3. Public Agency Supervisor

   4. Public Agency Caseworker/Direct Practice Worker/Frontline staff

   5. Family/Youth Partner

   6. Legal/Court Partner

   7. Private Agency Partner

   8. Federal Partner

   9. TA Provider

   10. Other (Please Specify)

Please rate your agreement with the following statements.

	Strongly Disagree	Disagree	Neither Agree nor Disagree	Agree	Strongly Agree
I feel like the pre-onsite work has been valuable.
I think that the pre-onsite work will contribute to the development of a high quality PIP.
The roles and responsibilities for participants in the pre-onsite work were clear.
Before going into the pre-onsite work, I understood what was expected of me.
There was good representation of key stakeholders from inside the state agency for the pre-onsite work.
There was good representation of key stakeholders from outside the state agency for the pre-onsite work.
Pre-onsite meetings felt well planned.
Information I received for the pre-onsite work made it easy for me to participate.
The pre-onsite work was effectively facilitated.
Conversations during the pre-onsite work felt constructive.
I had an opportunity to make meaningful contributions to the pre-onsite work.
The data and analyses used during the pre-onsite work helped me understand the reasons for the state’s performance.
The technical assistance provided during the pre-onsite work was helpful.

15. What could have improved the pre-onsite work?

16. What suggestions do you have for the PIP Pilot onsite meeting?

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