Attachment 1 Feedback Survey

OMB Control #: 0970-0401

Expiration date: 05/31/2021

Attachment 1: Feedback Survey

Based on the information and support from the learning community, please indicate the extent to which you agree or disagree with the following statements:

	Response categories				Illustrative Learning Community Call Topics
	Strongly Agree	Agree	Disagree	Strongly Disagree	Refine / test logic model (6)	Data systems to link parent / child records (6)	Measure program implementa-tation and service delivery (11)	Examine program / service takeup (13)	Measure parent / child / family outcomes (13)
I have greater capacity to use program data to inform decisions about policies or practices in my organization.							X
I expect to apply information from the learning community in my work.					X	X
I have a better understanding of how data can be used to investigate how our organization is serving two generations.						X	X	X	X
I have greater capacity to develop a theory of action to guide our work on serving two generations.					X		X	X	X
I have greater capacity to monitor implementation of two-generation services.					X		X
I have greater capacity to communicate data and research findings related to our two generation services to other stakeholders.							X	X
I am building supportive connections with people in other agencies who are engaged in similar work and understand the challenges.							X	X	X
I plan to share my agency’s experiences with the activities discussed in this learning community with the broader two-generation program field.								X	X
I plan to share what I have learned in this learning community with others in my agency.					X	X	X	X	X
I am better able to build awareness of the need for change around how we serve parents and their children among program staff and/or partner organizations.						X	X	X
The format of the learning community meetings provided ample opportunity for participants to meaningfully interact with each other.					X				X
I feel comfortable reaching out to others in the learning community for support or advice about this work.								X	X
Participating in this learning community is helping my organization achieve its goals.					X				X

For the questions below, please indicate whether you have taken or plan to take the following actions based on the information and support received through the learning community.

	Response Categories				Illustrative Learning Community Call Topics
	Yes, I have done so	In the process of doing so	Making plans to do so	No, and no plans to do so	Refine / test logic model	Data systems to link parent / child records	Measure program implementa-tion and service delivery	Examine program / service takeup	Measure parent / child / family outcomes
I have used data in new ways to inform decisions in my organization.								X	X
I have identified the next steps towards our work on improving services to parents and their children.						X	X
I have changed the way I support my staff on improving delivery of services to parents and their children.								X	X
I have provided coaching or support on using our organization’s data to assess how well services are delivered to parents and their children.								X	X
I have changed the way I monitor implementation of services for parents and their children.								X	X
I have shared data and research findings with other stakeholders.								X	X
I have shared information that I learned about [topic, e.g., linking parent and child data] with other stakeholders.							X
I have applied information from the learning community in my work.						X	X

These open-ended questions would be used in all feedback surveys:

	Illustrative Learning Community Call Topics
	Refine / test logic model	Data systems to link parent / child records	Measure program implementa-tation and service delivery	Examine program / service takeup	Measure parent / child / family outcomes
What aspects of the learning community were most helpful and why?	X	X	X	X	X
What aspects of the learning community were least helpful?	X	X	X	X	X
How would you suggest improving the learning community?	X	X	X	X	X
What topics would be useful for a future call?	X	X	X	X

The described collection of information is voluntary and will be used to solicit feedback on the NS2G learning community. Public reporting burden for the described collection of information is estimated to average 15 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 OMB number and expiration date for the described collection are OMB #: 0970-0401, Exp: 05/31/2021. Send comments regarding the burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to Mathematica; 1100 First St NE #1200, Washington, DC 20002.