NS2G Staff Survey

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Program Staff Survey for Next Steps for Rigorous Research on Two-Generation Approaches Program Staff 
Note for reviewer: The process, strategy, or tool being asked about in the survey will be an element of a theory of change or logic model that a site has developed or revised in partnership with the NS2G site team. The processes, strategies, and tools will differ across sites, as will the specific research questions being answered in the formative RCE. As a result, it might be necessary to tailor the exact wording of the questions to each site (as indicated by the brackets throughout the survey).
Introduction
Thank you for participating in this pilot for Next Steps for Rigorous Research on Two-Generation Approaches (NS2G). The purpose of this information collection is to learn about your experience using the [process/strategy/tools]. The average estimated public reporting burden for this collection of information is about 10 minutes per response. 
Participation in this information collection is voluntary. Providing information is voluntary, and all individual responses that are collected are kept private to the extent permitted by law. Please do not include any personal information, such as your name or contact information, on this form.
Paperwork Reduction Act Statement: 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 control number for this collection is 0970-0356 and it expires 5/31/2021. 

Section A. Use of process, strategy, or tool
    1. Did you use [process/strategy/tool] in the past [survey time interval]?
    a. Yes (Skip to Section C)
    b. No (Proceed to Section B)
Section B. Didn’t use process, strategy, or tool
    2. You responded that you didn’t use [process/strategy/tool]. Why not?
    a. Open-ended response. 
    3. Thinking about this past [survey time interval], please respond to the following items: 
Statement
Strongly disagree
Disagree
Agree
Strongly agree
a.	I feel comfortable using [process/strategy/tool].




b.	It seems easy to use [process/strategy/tool].




c.	Using the [process/strategy/tool] seems too time-consuming.




d.	I felt like I had the support I needed to use [process/strategy/tool]. 




e.	My supervisor and colleagues encouraged me to use [process/strategy/tool].




f.	The [process/strategy/tool] will improve the services my program provides.




g.	The [process/strategy/tool] will lead to improved outcomes for program participants.





    4. Do you have any additional comments about your organization’s pilot of the [process/strategy/tool]?
    a. Open-ended response
Section C. Details about use of process, strategy, or tool 
    5. How many times did you use [process/strategy/tool] in the past [survey time interval]?
    a. 1 or 2 times
    b. 3 to 5 times
    c. 6 or more times
    6. Thinking about your use of [process/strategy/tool] in the past [survey time interval], please respond to the following items:
Statement
Strongly disagree
Disagree
Agree
Strongly agree
a.	I felt comfortable using [process/strategy/tool].




b.	It was easy to use [process/strategy/tool].




c.	Using the [process/strategy/tool] was time-consuming.




d.	I felt like I had the support I needed to use [process/strategy/tool] well.




e.	My supervisor and colleagues encouraged me to use [process/strategy/tool].




f.	The [process/strategy/tool] will improve the services my program provides.




g.	The [process/strategy/tool] will lead to improved outcomes for program participants.





    7. What part of [process/strategy/tool] worked particularly well? Why? 
    a. Open-ended response
    8. What part of [process/strategy/tool] did not work very well? Why?
    a. Open-ended response
    9. What suggestions for improvement do you have for [process/strategy/tool]?
    a. Open-ended response
    10. Do you have any additional comments about your organization’s pilot of the [process/strategy/tool]?
    a. Open-ended response

Section D. Information
    11. [If applicable] Select your agency
    a. Option A
    b. Option B
    c. Option C
    12. [If applicable] Select your position
    a. Option A
    b. Option B
    c. Option C
    13. [If applicable] Enter your ID number