Fathers and Continuous Learning Dissemination Pilot

Instrument 3. FCL Dissemination Pilot Survey

Instrument 3. FCL Dissemination Pilot Survey

Through this information collection, ACF is gathering feedback on materials used for a dissemination pilot for the Fathers and Continuous Learning Project. Public reporting burden for this collection of information is estimated to average 10 minutes per respondent, including the time for reviewing instructions, gathering and maintaining the data needed, and reviewing the collection of information.  This is a voluntary collection of information. The agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number.  The OMB # is 0970-0401 and the expiration date is 06/30/2024.  If you have any comments on this collection of information, please contact Jill Spielfogel at [email protected].

Please rate your agreement with the following statements:

The content of the following FCL tools or resources 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

I found the following FCL tools or resources 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

I found the following FCL tools or resources to be useful as is or if slightly modified.	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

The following FCL tools or resources are 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

After reviewing or using the following FCL tools or resources, 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

I feel capable using following FCL tools or resources 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

What suggestions do you have for us to improve the following FCL tools and resources?	Open-ended response
Site Self-Assessment
PDSA Worksheet
Collaborative Change Framework
Action Planning Form
Data collection planning worksheet
LADDERS Framework
Racial Justice Framework

What suggestions do you have for us to improve the guidance for using the following FCL tools and resources?	Open-ended response
Site Self-Assessment
PDSA Worksheet
Collaborative Change Framework
Action Planning Form
Data collection planning worksheet
LADDERS Framework
Racial Justice Framework

9. What other content or resources should we consider for the future?

Open-ended response

For FCL Dissemination Pilot. Do not distribute.

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