Instrument A- Survey of Orientation Attendees_V3.clean

Survey of Orientation Attendees OMB Control Number: 0970-0531

Expiration Date: 07/31/2022

Survey of orientation attendees

Introduction

A research organization named Mathematica is working with Viability to improve the MOMS Partnership program. We are going to ask you some questions about the orientation you just attended. The answers to your questions will help improve the orientation for future attendees. It should take about 5 minutes to complete this survey.

You can decline to complete the survey or leave any questions blank. Your individual response will not be associated with your name. All responses will be combined; no one outside the research team will know how you responded.

The Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to gather information for the purpose of rapid-cycle learning activities to strengthen programs. 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 OMB number and expiration date for this collection are OMB #: 0970-0531, Exp: 07/31/2022. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Sheena McConnell; [email protected]

1. To what extent do you agree or disagree with the following statements?

Statement	Strongly disagree	Disagree	Agree	Strongly agree	Not sure
I feel it is important for me to participate in MOMS Partnership	1 	2 	3 	4 	5 
I feel excited to start MOMS Partnership.	1 	2 	3 	4 	5 
I feel prepared to start MOMS Partnership.	1 	2 	3 	4 	5 
I understand the information I was given during orientation.	1 	2 	3 	4 	5 
The amount of information shared during orientation was just right (not too much or too little).	1 	2 	3 	4 	5 
The materials (e.g., handouts, PowerPoint presentation) used during orientation helped me understand MOMS Partnership.	1 	2 	3 	4 	45

2. I attended the orientation:

1. In person

2. Virtually

3. I would have preferred to attend the orientation:

1. In person

2. Virtually

3. I don’t have a preference

4. The orientation session was held:

1. In a group with other people

2. One-on-one with the program staff member

5. I would have preferred to attend an orientation:

1. In a group with other people

2. One-on-one with a program staff member

3. I don’t have a preference

6. Is there anything you would like to share with us to improve the orientation? [Open text box]

3