Fathers and Continuous Learning Dissemination Pilot

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

Instrument 2. FCL Dissemination Pilot Team Meeting Qualitative Feedback Questions_FINAL

Fathers and Continuous Learning Dissemination Pilot

OMB: 0970-0401

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FCL Dissemination Pilot Team Meeting Qualitative Feedback Questions

Instrument 2. Team meeting qualitative feedback questions


The following questions will be asked quarterly during regularly scheduled team meetings between dissemination pilot teams and Mathematica staff. Questions will only be asked about resources participants are currently using. The set of questions selected for each meeting will take about 10 minutes to complete.

  1. What suggestions do you have for us to improve the following FCL tools and resources?

FCL Tool

Open-ended response

Site Self-Assessment


PDSA Worksheet


Collaborative Change Framework


Action Planning Form


Data collection planning worksheet


LADDERS Framework


Racial Justice Framework




  1. What suggestions do you have for us to improve the guidance for using the following FCL tools and resources?

FCL Tool

Open-ended response

Site Self-Assessment


PDSA Worksheet


Collaborative Change Framework


Action Planning Form


Data collection planning worksheet


LADDERS Framework


Racial Justice Framework




  1. What other content or resources should we consider for the future? (Open-ended)



For FCL Dissemination Pilot. Do not distribute.

Mathematica® Inc. 1

File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleMathematica Proposal
Subjectproposal
AuthorJill Spielfogel
File Modified0000-00-00
File Created2023-08-31

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