OMB Control No.: 0970-0401
Expiration Date: XXXX
Thank you for taking the time to complete this survey! We are interested in understanding how grantees perceive the technical assistance (TA) provided by the Tribal Evaluation Institute (TEI) team. One person should complete the survey for the team, relaying the team’s experience with TEI. We suggest that this be the team member with the most experience working with TEI.
When answering this survey, please consider your experiences with all members of the TEI team (not just your TEI liaison). Your responses will be kept private.
What is your role on the Tribal Home Visiting team?
¨ Evaluator ¨ Program Coordinator
¨ Project Director ¨ Home Visitor
¨ Data Analyst ¨ Other: ___________________
How long have you been in this role?
¨ Less than 1 year ¨ 3-5 years
¨ 1-3 years ¨ More than 5 years
Please rate how much you agree or disagree with the following statements.
TEI demonstrates a strong understanding of… |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
Please provide additional information to help explain your responses:
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I feel… |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
Please provide additional information to help explain your responses:
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I am satisfied with TEI’s TA on… |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
N/A |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
N/A |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
N/A |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
N/A |
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Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
N/A |
Please provide additional information to help explain your responses. If you selected, N/A for any items, please explain:
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Please rate how often you agree with the following statements.
I feel… |
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Always |
Sometimes |
Rarely |
Never |
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Always |
Sometimes |
Rarely |
Never |
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Sometimes |
Rarely |
Never |
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Always |
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Rarely |
Never |
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Always |
Sometimes |
Rarely |
Never |
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Always |
Sometimes |
Rarely |
Never |
Please provide additional information to help explain your responses:
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The following items ask you to rank each specific method of TA on how useful it was to you and your team. These methods should be ranked in descending order, with the most useful method of TA ranked as 1. If you did not receive TA on a topic, you can check the box “did not use” to skip the question.
TA on collecting and reporting annual demographic and performance measurement data (e.g., Forms 1 and 2) (1 being most useful; 5 being least useful) _____ Did not use
Usefulness Order (1-5) |
TA Method |
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Webinars |
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Written guidance |
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Individual phone calls |
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Individual emails |
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Written feedback |
TA on implementing CQI projects (1 being most useful; 6 being least useful) ______ Did not use
Usefulness Order (1-6) |
TA Method |
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Webinars |
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Communities of Learning |
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Written guidance |
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Individual phone calls |
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Individual emails |
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Written feedback |
TA on conducting evaluation studies (1 being most useful; 6 being least useful) _____ Did not use
Usefulness Order (1-6) |
TA Method |
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Webinars |
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Communities of Learning |
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Written guidance |
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Individual phone calls |
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Individual emails |
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Written feedback |
TA on data systems (1 being most useful; 5 being least useful) ______ Did not use
Usefulness Order (1-5) |
TA Method |
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Webinars |
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Written guidance |
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Individual phone calls |
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Individual emails |
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Written feedback |
TA on disseminating data related findings (1 being most useful; 5 being least useful)
____ Did not use
Usefulness Order (1-5) |
TA Method |
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Webinars |
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Written guidance |
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Individual phone calls |
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Individual emails |
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Written feedback |
Are there other types/methods of TA that TEI doesn’t use but you think would be helpful?
What TA experiences have you had with TEI that you would say have been the most successful in helping your program meet the grant requirements? Why?
How could TEI improve their TA to better support your success as a tribal home visiting grantee?
To what degree do you feel your team has improved their knowledge in the following areas because of your work with TEI? For these questions, “knowledge” means your team’s understanding of these concepts.
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Large improvement |
Moderate improvement |
Minimal improvement |
No improvement |
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Please provide additional information to help explain your responses. If you selected, N/A for any items, please explain:
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To what degree do you feel your team has improved their skills in the following areas because of your work with TEI? For these questions, “skills” means your team’s proficiency to do the activities listed below.
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Large improvement |
Moderate improvement |
Minimal improvement |
No improvement |
N/A |
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Please provide additional information to help explain your responses. If you selected, N/A for any items, please explain:
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Have you used the TEI website (www.tribaleval.org)? (If no, skip to #52)
☐ No
How have you used the TEI website? Do you have any suggestions for how it could be improved?
Have you visited the Tribal Home Visiting Forms 1 & 2 Reporting Toolkit website? (If no, skip to #54)
__ Yes
__ No
How have you used the Tribal Home Visiting Forms 1 & 2 Reporting Toolkit website? Do you have any suggestions for how it could be improved?
Have you visited the Tribal Home Visiting Portal (My Peers) to access TEI resources? (If no, skip to #56)
☐ Yes
☐ No
How have you used the Tribal Home Visiting Portal to access TEI resources? Do you have suggestions on how TEI content on the portal could be improved?
To what extent do you use social media to get information relevant to collecting, reporting, and using data?
1 In this survey reference to “evaluation” could include grant required evaluation studies or grantee driven evaluation activities outside of Tribal Home Visiting that the TEI liaison provided technical assistance on.
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13): Through this information collection, ACF is gathering information to inform technical assistance for grantees participating in Tribal Maternal Infant and Early Childhood Home Visiting. Public reporting burden for this collection of information is estimated to average 10 minutes per grantee, including the time for reviewing instructions. This is a voluntary collection of information. An 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 XXXX. If you have any comments on this collection of information, please contact Erica Roberts; roberts@jbassoc.com.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Erica Roberts |
File Modified | 0000-00-00 |
File Created | 2023-08-25 |