Form 2 CCI Local Partner Survey

CCI Evaluation Survey for Local Partner Organizations (C1 and C2 Follow-up)

[Note to reviewers of survey: All text within square brackets refers to information that will be pre-populated with projectspecific information prior to survey administration.]
This survey is part of a cross-grantee evaluation of the Community Catalyst Initiative (CCI), funded by the Institute for Museum and
Library Services (IMLS). The evaluation is being led by ORS Impact, an independent consulting firm. You received this survey
because you were identified by members of the CCI project team for [project name] as a person in your organization who knows the
project well. Some of the questions ask for responses that represent all staff in your organization who are involved in the project. We
encourage you to complete the survey along with them and/or to gather ideas from them.
In all results summaries based on this survey, responses will not be linked with any identifying information, such as names of
organizations. Only summaries of combined results will be shared outside of ORS Impact, including with IMLS, ABCD Institute, the
ABCD site consultants who are providing support and coaching to grantees as part of this initiative, and other audiences who may be
interested in the results. Identified information will be shared beyond ORS Impact only if it is required by law, based on a specific
request.
At the end of the survey, there is a place where you can enter comments about your experience of the project, explain any of your
responses, or provide feedback on the survey.

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CCI Evaluation Survey for Local Partner Organizations (C1 and C2 Follow-up)

1. Please indicate what your organization contributes to this project (choose as many as apply).
Funding
In-Kind Resources (e.g., meeting space)
Paid Staff
Volunteers and Volunteer staff
Data Resources including data sets, collection and analysis
Info/ Feedback
Expertise in a Specific Area/Topic
Community Connections
Fiscal Management (e.g. acting as fiscal agent)
Facilitation/Leadership
Advocacy
IT/web resources (e.g. server space, web site development, social media)
Other (please specify)

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CCI Evaluation Survey for Local Partner Organizations (C1 and C2 Follow-up)

In this survey, this is what we mean when we refer to...
Community members: residents, citizens, actors, members of resident or citizen associations within the community that are involved
in [project name] planning or activities--does not include staff members of community organizations
Community-driven: based on what community members care about

The following questions ask you to describe your organization's relationship with the other organizations collaborating on this project,
as identified by the CCI project team. Please provide a response for each organization except your own.

2. How frequently does your organization work with this organization?
Never, we have not
worked with this
organization
Once a year or less

About once a
quarter

About once a month

About every week
or more often

[Name of Org1]
[Name of Org2]
[Name of OrgN]

3. What best describes your organization's working relationship with this organization?
We provide or receive
We advise and/or receive resources that contribute
We do not currently work
advice from this
to efforts of this
with this organization
organization
organization

Together with this
organization we codesign efforts and/or
implement co-designed
efforts

[Name of Org1]
[Name of Org2]
[Name of OrgN]

4. To what extent does the organization share or support the vision of asset-focused, community-driven
collaboration?
We have not worked
with this
organization

Not at all

A small amount

A fair amount

A great deal

[Name of Org1]
[Name of Org2]
[Name of OrgN]

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5. How reliable* is the organization?
*Reliable: This organization is reliable in terms of following through on commitments.
We have not worked
with this
organization

Not at all

A small amount

A fair amount

A great deal

[Name of Org1]
[Name of Org2]
[Name of OrgN]

6. How open to discussion* is the organization?
*Open to Discussion: This organization is willing to engage in frank, open and civil discussion (especially
when disagreement exists) and consider a variety of viewpoints and talk together (rather than at each
other). You are able to communicate with this organization in an open, trusting manner.
We have not worked
with this
organization

Not at all

A small amount

A fair amount

A great deal

[Name of Org1]
[Name of Org2]
[Name of OrgN]

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CCI Evaluation Survey for Local Partner Organizations (C1 and C2 Follow-up)

In this survey, this is what we mean when we refer to...
Community members: residents, citizens, actors, members of resident or citizen associations within the community that are involved
in [project name] planning or activities--does not include staff members of community organizations
Community-driven: based on what community members care about

Please indicate how much you agree with each statement in relation to each museums or libraries collaborating on this project, as
identified by the CCI project team.

7. This museum/library is a safe, open, and trusted organization.
Strongly Disagree

Disagree

Neither Agree
or Disagree

Agree

Strongly Agree

[Name of M/L1]
[Name of M/L2]
[Name of M/Ln]

8. This museum/library engages the community in developing programs or other efforts in a way that feels
truly welcoming of community members’ ideas.
Strongly Disagree

Disagree

Neither Agree
or Disagree

Agree

Strongly Agree

Agree

Strongly Agree

[Name of M/L1]
[Name of M/L2]
[Name of M/Ln]

9. This museum/library is an important resource in the community.
Strongly Disagree

Disagree

Neither Agree
or Disagree

[Name of M/L1]
[Name of M/L2]
[Name of M/Ln]

10. This museum/library follows where community members lead in addressing important local issues.
Strongly Disagree

Disagree

Neither Agree
or Disagree

Agree

Strongly Agree

[Name of M/L1]
[Name of M/L2]
[Name of M/Ln]

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11. This museum/library helps community members gather together and build relationships.
Strongly Disagree

Disagree

Neither Agree
or Disagree

Agree

Strongly Agree

[Name of M/L1]
[Name of M/L2]
[Name of M/Ln]

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CCI Evaluation Survey for Local Partner Organizations (C1 and C2 Follow-up)

In this survey, this is what we mean when we refer to...
Community members: residents, citizens, actors, members of resident or citizen associations within the community that are involved
in [project name] planning or activities--does not include staff members of community organizations
Community-driven: based on what community members care about

12. Has your organization made asset-focused, community-driven collaboration a part of other community
change efforts?
Yes
No, but it is planning on doing this is the future
No, are there are no plans to do this is the future
Don't know

13. Local entities are interested in investing in asset-based, community-driven collaboration, in the form of:
Strongly Disagree

Disagree

Neither Agree or
Disagree

Agree

Strongly Agree

Funding (money)
Other resources (in-kind
contributions)

14. Is there anything else you would like to share?

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