Fathers and Continuous Learning Dissemination Pilot

Fast Track Generic Clearance for Collection of Qualitative Feedback on Agency Service Delivery

Instrument 1. FCL Dissemination Pilot All-team call brief polls_FINAL

Fathers and Continuous Learning Dissemination Pilot

OMB: 0970-0401

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Instrument 1. All-team call brief polls

Instrument 1. All-team call brief polls

Every other month, the Fathers and Continuous Learning dissemination pilot team will ask a subset of the following questions on all-team calls. The polls will help gauge participant responses to the materials they are currently using. The polls will occur via WebEx. The polls are expected to take 5 minutes at four different meetings.



  1. The content of the [FCL tool or resource] was clear and well organized.


Strongly Agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Did not use or participate

Site Self-Assessment







PDSA Worksheet







Collaborative Change Framework







Action Planning Form







Data collection planning worksheet







LADDERS Framework







Racial Justice Framework











  1. I found the [FCL tool or resource] to be relevant to my current or future work.

Strongly Agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Did not use or participate

Site Self-Assessment







PDSA Worksheet







Collaborative Change Framework







Action Planning Form







Data collection planning worksheet







LADDERS Framework







Racial Justice Framework











  1. I found the [FCL tool or resource] to be useful as is or if slightly modified (please note what changes you suggest in the chat or verbally explain).

Strongly Agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Did not use or participate

Site Self-Assessment







PDSA Worksheet







Collaborative Change Framework







Action Planning Form







Data collection planning worksheet







LADDERS Framework







Racial Justice Framework











  1. The [FCL tool or resource] is useful in raising awareness with my staff about engaging with fathers and paternal relatives.

Strongly Agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Did not use or participate

Site Self-Assessment







Collaborative Change Framework







Racial Justice Framework











  1. After reviewing the [FCL tool or resource], I feel motivated to improve practices related to father and paternal relative engagement in my agency.

Strongly Agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Did not use or participate

Site Self-Assessment







PDSA Worksheet







Collaborative Change Framework







Action Planning Form







Data collection planning worksheet







LADDERS Framework







Racial Justice Framework











  1. I feel capable using following [FCL tool or resource] without additional explanation or guidance.

Strongly Agree

Agree

Neither agree nor disagree

Disagree

Strongly disagree

Did not use or participate

Site Self-Assessment







PDSA Worksheet







Collaborative Change Framework







Action Planning Form







Data collection planning worksheet







LADDERS Framework







Racial Justice Framework









For FCL Dissemination Pilot. Do not distribute.

Mathematica® Inc. 3

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleMathematica Proposal
Subjectproposal
AuthorJill Spielfogel
File Modified0000-00-00
File Created2023-08-23

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