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RCE Staff Questionnaire
ICR 202310-0584-002 · OMB 0584-0680 · Object 136398301.
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| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | RCE Staff Questionnaire |
| Subject | Web survey |
| Keywords | WEB, TEMPLATE |
| Author | MATHEMATICA |
| Last Modified By | Writer |
| File Modified | 2023-09-18 |
| File Created | 2026-07-14 |
| Conversion State | complete |
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Appendix I1. Staff Questionnaire Specifications This page has been left blank for double-sided copying. Rapid cycle evaluation of operational improvements in SNAP E&T: Staff questionnaire INTRODUCTION Thank you for taking the time to complete this important survey. Mathematica is conducting this survey under contract with the U.S. Department of Agriculture Food and Nutrition Service to understand implementation of interventions to improve SNAP Employment and Training (E&T) programs. Because you work directly with SNAP E&T participants, your input is very important. By participating in this survey, we hope you can help us understand your responsibilities related to the intervention, your time required for the intervention, your experiences and thoughts about the intervention, and any challenges you experienced during its implementation. Your participation in this survey is voluntary. This survey takes about 15 minutes to complete. You may complete the survey in one sitting or come back to it later—your answers will save automatically. Findings from this survey will be summarized across all participants. We will not associate responses with a specific person. Your answers will be kept private to the extent allowed by law. All confidential information will be stored safely and destroyed at the end of the study. If you have any questions about the survey—or if you experience any problems with the survey—contact Mathematica at [NUMBER] or by e-mail at [EMAIL]. Please select “Next” below if you agree to participate in the study. Original Questionnaire – still used for Colorado, Minnesota, Kansas, Rhode Island, and DC A. Background Please provide the requested information below or select the response for each item that best describes your background. ALL 1. What is your job title? (write-in) (FIELD DESCRIPTION) (STRING (NUM)) ALL 2. How many years have you been in your current role? Select one only Less than one year 1 1 to 2 years 2 3 to 5 years 3 6 to 10 years 4 11 to 15 years 5 More than 15 years 6 ALL AGENCY NAME 3. Including your work for [AGENCY NAME], how many total years of experience do you have doing similar work? Select one only Less than one year 1 to 2 years 1 3 to 5 years 2 6 to 10 years 3 11 to 15 years 4 More than 15 years 5 ALL 4. In your current position, are you: Select one only A permanent employee 1 A temporary employee (e.g., on a contract or acting as a consultant) 2 A volunteer 3 ALL 5. What is your current work status? Select one only Full-time employee (30 hours per week or more) 1 Part-time employee (1 to 29 hours per week) 2 Work on an as-needed basis 3 ALL 6. What is your gender? Select one only Male 1 Female 2 Other (SPECIFY) 99 Specify (STRING (NUM)) ALL 7. Are you of Hispanic, Latino/a, or Spanish origin? Select one only No, not of Hispanic, Latino/a, or Spanish origin 1 Yes, Hispanic, Latino/a or Spanish origin 2 ALL 8. What is your race? Select all that apply American Indian or Alaska Native 1 Asian 2 Black or African American 3 Native Hawaiian or other Pacific Islander 4 White 5 Other (SPECIFY) 99 Specify (STRING (NUM)) ALL 9. What is the highest level of education you have completed? Select one only Less than a high school diploma 1 High school diploma (not General Education Development or GED) 2 General Education Development or GED 3 Some college (no degree) 4 2-year or 3-year college degree (Associate’s Degree) 5 4-year college degree (Bachelor’s Degree) 6 Graduate degree (Master’s Degree, such as Master of Social Work or Public Health) 7 Professional degree (Juris Doctorate, Medical Doctor, etc.) 8 Doctoral degree or equivalent 9 Other (SPECIFY) 99 Specify (STRING (NUM)) B. Staff responsibilities Please provide the requested information below or select the response for each item that best describes your responsibilities and contact with participants. ALL 10. What are your responsibilities as part of the intervention? Select all that apply Recruiting and outreach to participants. (For example, conducting phone or text outreach to share information about your program.) 1 Enrolling and intake. (For example, signing people up for training and administering initial assessments.) 2 Providing direct services. (For example, conducting case management, counseling, job search assistance, or administering supportive services.) 3 Offering group instruction. (For example, teaching occupational or vocational skills courses, soft skills workshops, or GED preparation classes.) 4 Managing/supervising staff. (For example, overseeing the staff who provide services to participants.) 5 Other (SPECIFY) 99 Specify (STRING (NUM)) [IF CHECKED YES TO DIRECT SERVICES, GO TO 11 AND 12; IF NO, SKIP TO 13 11. How many participants were on your caseload (that is, how many participants did you work with on an ongoing basis) in an average month before the intervention began? Select one only I do not carry a caseload. 1 1 to 15 participants 2 16 to 30 participants 3 31 to 50 participants 4 51 to 75 participants 5 More than 75 participants 6 ALL 12. How many participants were on your caseload (that is, how many participants did you work with on an ongoing basis) per month on average during the intervention? Select one only I do not carry a caseload. 1 1 to 15 participants 2 16 to 30 participants 3 31 to 50 participants 4 51 to 75 participants 5 More than 75 participants 6 ALL 13. In the past 12 months, how long was the longest formal training (either in person or web-based) you received on skills needed for your job (in general, not just for the intervention)? Select one only I did not receive any formal training in the past 12 months. 1 1 to 2 hours 2 Half a day 3 A full day 4 Multiple days 5 ALL 14. Did you have formal tools or resources specific to your role available during the intervention? For example, did you have an RCE process document or implementation guide available? Select one only Yes 1 No 0 Not sure 2 ALL 15. During the intervention, what percentage of the participants you served were of Hispanic, Latino/a, or Spanish origin? Select one only Less than 25% 1 25-50% 2 51-75% 3 Over 75% 4 Not sure 5 16. During the intervention, what percentage of the participants you served were: Select one per row Less than 25% 25-50% 51-75% Over 75% Not sure a. American Indian or Alaska Native 1 2 3 4 5 b. Asian 1 2 3 4 5 c. Black or African American 1 2 3 4 5 d. Native Hawaiian or Pacific Islander 1 2 3 4 5 e. White 1 2 3 4 5 f. Other 1 2 3 4 5 C. Staff time related to intervention Please provide the requested information below or select the response for each item that best describes your time spent on the intervention. ALL 17. Using a scale of 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree, please rate how strongly you agree or disagree with each of the following statements about the time required for the intervention: Select one per row Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree Not sure a. The changes in processes as a result of the intervention saved me time compared to my usual job responsibilities before the intervention. (For example, the intervention resulted in less manual work to follow up individually with participants.) 1 2 3 4 5 6 b. I had difficulty keeping up with my usual responsibilities during the intervention period. 1 2 3 4 5 6 c. My work with those in the treatment group was more time consuming than my work with the control group. 1 2 3 4 5 6 d. The improvement in outcomes from the intervention was worth the amount of time required to implement the intervention. 1 2 3 4 5 6 D. Perceptions of the intervention Please provide the requested information below or select the response for each item that best describes your understanding of and experience with the intervention. ALL 17. Using a scale of 1 to 4, where 1 = Not at all successful and 4 = very successful, please rate how well the intervention succeeded at the following goals: Select one per row Not at all successful Somewhat successful Successful Very successful Not sure a. Increasing participant awareness and knowledge of SNAP E&T 1 2 3 4 5 b. Making more initial contacts with participants 1 2 3 4 5 c. Connecting more participants to SNAP E&T 1 2 3 4 5 d. Connecting more participants to case management services 1 2 3 4 5 e. Increasing provision of participant reimbursements (e.g., transportation or childcare assistance) 1 2 3 4 5 f. Enrolling more participants in activities (components) 1 2 3 4 5 g. Helping participants meet work requirements and retain their SNAP benefits 1 2 3 4 5 h. Increasing participant attendance in activities 1 2 3 4 5 i. Preventing participant drop-offs in activities or early termination 1 2 3 4 5 j. Improving participants’ employment outcomes (e.g., higher job retention) 1 2 3 4 5 ALL 19. Using a scale of 1 to 5, where 1 = Very dissatisfied and 5 = Very satisfied, please rate your satisfaction with each of the following statements about the overall intervention: Select one per row Very dissatisfied Dissatisfied Neutral Satisfied Very satisfied Not sure a. Skills you gained as a result of implementing the intervention (such as increased familiarity with new technology or outreach processes) 1 2 3 4 5 6 b. Amount of training or technical assistance provided during the planning process of the intervention 1 2 3 4 5 6 c. Amount of training or technical assistance provided during the implementation process of the intervention 1 2 3 4 5 6 d. Changes in processes brought about by the intervention 1 2 3 4 5 6 e. Changes in services that participants received 1 2 3 4 5 6 f. Amount of time required for you and other staff to implement the intervention 1 2 3 4 5 6 g. Intervention overall 1 2 3 4 5 6 E. Challenges and improvements ALL 20. Using a scale of 1 to 4, where 1 = Not at all a challenge and 4 = A major challenge, how would you rate each of these potential challenges in implementing the intervention? Select one per row Not at all a challenge A slight challenge A moderate challenge A major challenge Not sure a. Having enough training on intervention processes 1 2 3 4 5 b. Having enough training on data collection for the intervention 1 2 3 4 5 c. Having enough time to prepare to implement the intervention 1 2 3 4 5 d. Having adequate time to implement the intervention in addition to usual responsibilities 1 2 3 4 5 e. Working at or beyond capacity due to increased enrollment or participation in activities resulting from the intervention 1 2 3 4 5 f. Having adequate documentation, tools, or resources during the intervention 1 2 3 4 5 g. Adjusting to unexpected events, policy changes, or local economic shifts 1 2 3 4 5 ALL 21. Using a scale of 1 to 4, where 1 = Not at all important and 4 = Very important, how important would these program aspects be for the success of this intervention if it were to continue? Select one per row Not at all important Somewhat important Important Very important Not sure a. Hiring or delegating staff to be responsible for certain aspects of the intervention 1 2 3 4 5 b. Having intervention responsibilities spread across multiple staff 1 2 3 4 5 c. Having adequate training on intervention processes 1 2 3 4 5 d. Having adequate training on data collection 1 2 3 4 5 e. Having a comprehensive implementation guide, manual, or process document 1 2 3 4 5 f. Having additional funding to offset staffing costs, marketing materials, etc. 1 2 3 4 5 ALL 22. Are there any other program aspects not listed above that you would consider important for the success of the intervention? (FIELD DESCRIPTION) (STRING (NUM)) ALL 23. Is there anything else you would like us to know about your experience or challenges implementing the intervention? (FIELD DESCRIPTION) (STRING (NUM)) Questionnaire for Minnesota-Hennepin A. Background Please provide the requested information below or select the response for each item that best describes your background. ALL 1. What is your job title? (write-in) (FIELD DESCRIPTION) (STRING (NUM)) ALL 2. How many years have you been in your current role? Select one only Less than one year 1 1 to 2 years 2 3 to 5 years 3 6 to 10 years 4 11 to 15 years 5 More than 15 years 6 ALL AGENCY NAME 3. Including your work for Hennepin DHS, how many total years of experience do you have doing similar work? Select one only Less than one year 1 to 2 years 1 3 to 5 years 2 6 to 10 years 3 11 to 15 years 4 More than 15 years 5 ALL 4. In your current position, are you: Select one only A permanent employee 1 A temporary employee (e.g., on a contract or acting as a consultant) 2 A volunteer 3 ALL 5. What is your current work status? Select one only Full-time employee (30 hours per week or more) 1 Part-time employee (1 to 29 hours per week) 2 Work on an as-needed basis 3 ALL 6. What is your gender? Select one only Male 1 Female 2 Other (SPECIFY) 99 Specify (STRING (NUM)) ALL 7. Are you of Hispanic, Latino/a, or Spanish origin? Select one only No, not of Hispanic, Latino/a, or Spanish origin 1 Yes, Hispanic, Latino/a or Spanish origin 2 ALL 8. What is your race? Select all that apply American Indian or Alaska Native 1 Asian 2 Black or African American 3 Native Hawaiian or other Pacific Islander 4 White 5 Other (SPECIFY) 99 Specify (STRING (NUM)) ALL 9. What is the highest level of education you have completed? Select one only Less than a high school diploma 1 High school diploma (not General Education Development or GED) 2 General Education Development or GED 3 Some college (no degree) 4 2-year or 3-year college degree (Associate’s Degree) 5 4-year college degree (Bachelor’s Degree) 6 Graduate degree (Master’s Degree, such as Master of Social Work or Public Health) 7 Professional degree (Juris Doctorate, Medical Doctor, etc.) 8 Doctoral degree or equivalent 9 Other (SPECIFY) 99 Specify (STRING (NUM)) B. Staff responsibilities Please provide the requested information below or select the response for each item that best describes your responsibilities and contact with participants. ALL 10. What are your responsibilities as part of the intervention? Select all that apply Recruiting and outreach to participants. (For example, conducting phone or text outreach to share information about your program.) 1 Enrolling and intake. (For example, signing people up for training and administering initial assessments.) 2 Providing direct services. (For example, conducting case management, counseling, job search assistance, or administering supportive services.) 3 Offering group instruction. (For example, teaching occupational or vocational skills courses, soft skills workshops, or GED preparation classes.) 4 Managing/supervising staff. (For example, overseeing the staff who provide services to participants.) 5 Other (SPECIFY) 99 Specify (STRING (NUM)) [IF CHECKED YES TO DIRECT SERVICES, GO TO 11 AND 12; IF NO, SKIP TO 13 11. How many participants were on your caseload (that is, how many participants did you work with on an ongoing basis) in an average month before the intervention began? Select one only I do not carry a caseload. 1 1 to 15 participants 2 16 to 30 participants 3 31 to 50 participants 4 51 to 75 participants 5 More than 75 participants 6 ALL 12. How many participants were on your caseload (that is, how many participants did you work with on an ongoing basis) per month on average during the intervention? Select one only I do not carry a caseload. 1 1 to 15 participants 2 16 to 30 participants 3 31 to 50 participants 4 51 to 75 participants 5 More than 75 participants 6 ALL 13. In the past 12 months, how long was the longest formal training (either in person or web-based) you received on skills needed for your job (in general, not just for the intervention)? Select one only I did not receive any formal training in the past 12 months. 1 1 to 2 hours 2 Half a day 3 A full day 4 Multiple days 5 ALL 14. Did you have formal tools or resources specific to your role available during the intervention? For example, did you have an RCE process document or implementation guide available? Select one only Yes 1 No 0 Not sure 2 ALL C. Staff time related to intervention Please provide the requested information below or select the response for each item that best describes your time spent on the intervention. ALL 17. Using a scale of 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree, please rate how strongly you agree or disagree with each of the following statements about the time required for the intervention: Select one per row Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree Not sure a. The changes in processes as a result of the intervention saved me time compared to my usual job responsibilities before the intervention. (For example, the intervention resulted in less manual work to follow up individually with participants.) 1 2 3 4 5 6 b. I had difficulty keeping up with my usual responsibilities during the intervention period. 1 2 3 4 5 6 c. My work with those in the treatment group (received texts) was more time consuming than my work with the control group (didn’t receive texts from us). 1 2 3 4 5 6 d. The improvement in outcomes from the intervention was worth the amount of time required to implement the intervention. 1 2 3 4 5 6 D. Perceptions of the intervention Please provide the requested information below or select the response for each item that best describes your understanding of and experience with the intervention. ALL 18. Using a scale of 1 to 4, where 1 = Not at all successful and 4 = very successful, please rate how well the intervention succeeded at the following goals: Select one per row Not at all successful Somewhat successful Successful Very successful Not sure a. Increasing participant awareness and knowledge of SNAP E&T 1 2 3 4 5 b. Making more initial contacts with participants 1 2 3 4 5 c. Connecting more participants to SNAP E&T 1 2 3 4 5 d. Helping participants meet work requirements and retain their SNAP benefits 1 2 3 4 5 ALL 19. Using a scale of 1 to 5, where 1 = Very dissatisfied and 5 = Very satisfied, please rate your satisfaction with each of the following statements about the overall intervention: Select one per row Very dissatisfied Dissatisfied Neutral Satisfied Very satisfied Not sure a. Skills you gained as a result of implementing the intervention (such as increased familiarity with new technology or outreach processes) 1 2 3 4 5 6 b. Amount of training or technical assistance provided during the planning process of the intervention 1 2 3 4 5 6 c. Amount of training or technical assistance provided during the implementation process of the intervention 1 2 3 4 5 6 d. Changes in processes brought about by the intervention 1 2 3 4 5 6 e. Amount of time required for you and other staff to implement the intervention 1 2 3 4 5 6 f. Intervention overall 1 2 3 4 5 6 E. Challenges and improvements ALL 20. Using a scale of 1 to 4, where 1 = Not at all a challenge and 4 = A major challenge, how would you rate each of these potential challenges in implementing the intervention? Select one per row Not at all a challenge A slight challenge A moderate challenge A major challenge Not sure a. Having enough training on intervention processes 1 2 3 4 5 b. Having enough training on data collection for the intervention 1 2 3 4 5 c. Having enough time to prepare to implement the intervention 1 2 3 4 5 d. Having adequate time to implement the intervention in addition to usual responsibilities 1 2 3 4 5 e. Working at or beyond capacity due to increased enrollment or participation in activities resulting from the intervention 1 2 3 4 5 f. Having adequate documentation, tools, or resources during the intervention 1 2 3 4 5 g. Adjusting to unexpected events, policy changes, or local economic shifts 1 2 3 4 5 ALL 21. Using a scale of 1 to 4, where 1 = Not at all important and 4 = Very important, how important would these program aspects be for the success of this intervention if it were to continue? Select one per row Not at all important Somewhat important Important Very important Not sure a. Hiring or delegating staff to be responsible for certain aspects of the intervention 1 2 3 4 5 b. Having intervention responsibilities spread across multiple staff 1 2 3 4 5 c. Having adequate training on intervention processes 1 2 3 4 5 d. Having adequate training on data collection 1 2 3 4 5 e. Having a comprehensive implementation guide, manual, or process document 1 2 3 4 5 f. Having additional funding to offset staffing costs, marketing materials, etc. 1 2 3 4 5 ALL 22. Are there any other program aspects not listed above that you would consider important for the success of the intervention? (FIELD DESCRIPTION) (STRING (NUM)) ALL 23. Is there anything else you would like us to know about your experience or challenges implementing the intervention? (FIELD DESCRIPTION) (STRING (NUM)) Questionnaire for Minnesota-Rural A. Background Please provide the requested information below or select the response for each item that best describes your background. ALL 1. What is your job title? (write-in) (FIELD DESCRIPTION) (STRING (NUM)) ALL 2. How many years have you been in your current role? Select one only Less than one year 1 1 to 2 years 2 3 to 5 years 3 6 to 10 years 4 11 to 15 years 5 More than 15 years 6 ALL AGENCY NAME 3. Including your work for your organization, how many total years of experience do you have doing similar work? Select one only Less than one year 1 to 2 years 1 3 to 5 years 2 6 to 10 years 3 11 to 15 years 4 More than 15 years 5 ALL 4. In your current position, are you: Select one only A permanent employee 1 A temporary employee (e.g., on a contract or acting as a consultant) 2 A volunteer 3 ALL 5. What is your current work status? Select one only Full-time employee (30 hours per week or more) 1 Part-time employee (1 to 29 hours per week) 2 Work on an as-needed basis 3 ALL 6. What is your gender? Select one only Male 1 Female 2 Other (SPECIFY) 99 Specify (STRING (NUM)) ALL 7. Are you of Hispanic, Latino/a, or Spanish origin? Select one only No, not of Hispanic, Latino/a, or Spanish origin 1 Yes, Hispanic, Latino/a or Spanish origin 2 ALL 8. What is your race? Select all that apply American Indian or Alaska Native 1 Asian 2 Black or African American 3 Native Hawaiian or other Pacific Islander 4 White 5 Other (SPECIFY) 99 Specify (STRING (NUM)) ALL 9. What is the highest level of education you have completed? Select one only Less than a high school diploma 1 High school diploma (not General Education Development or GED) 2 General Education Development or GED 3 Some college (no degree) 4 2-year or 3-year college degree (Associate’s Degree) 5 4-year college degree (Bachelor’s Degree) 6 Graduate degree (Master’s Degree, such as Master of Social Work or Public Health) 7 Professional degree (Juris Doctorate, Medical Doctor, etc.) 8 Doctoral degree or equivalent 9 Other (SPECIFY) 99 Specify (STRING (NUM)) B. Staff responsibilities Please provide the requested information below or select the response for each item that best describes your responsibilities and contact with participants. ALL 10. What are your responsibilities as part of the intervention (Mathematica SNAP E&T RCE Project)? Select all that apply Enrolling and intake. (For example, signing people up for training and administering initial assessments.) 1 Providing direct services. (For example, conducting case management, counseling, job search assistance, or administering supportive services.) 2 Offering group instruction. (For example, teaching occupational or vocational skills courses, soft skills workshops, or GED preparation classes.) 3 Managing/supervising staff. (For example, overseeing the staff who provide services to participants.) 4 Other (SPECIFY) 99 Specify (STRING (NUM)) [IF CHECKED YES TO DIRECT SERVICES, GO TO 11 AND 12; IF NO, SKIP TO 13 11. How many participants were on your caseload (that is, how many participants did you work with on an ongoing basis) in an average month before the intervention began? Select one only I do not carry a caseload. 1 1 to 15 participants 2 16 to 30 participants 3 31 to 50 participants 4 51 to 75 participants 5 More than 75 participants 6 ALL 12. How many participants were on your caseload (that is, how many participants did you work with on an ongoing basis) per month on average during the intervention? Select one only I do not carry a caseload. 1 1 to 15 participants 2 16 to 30 participants 3 31 to 50 participants 4 51 to 75 participants 5 More than 75 participants 6 ALL 13. In the past 12 months, how long was the longest formal training (either in person or web-based) you received on skills needed for your job (in general, not just for the intervention)? Select one only I did not receive any formal training in the past 12 months. 1 1 to 2 hours 2 Half a day 3 A full day 4 Multiple days 5 ALL 14. Did you have formal tools or resources specific to your role available during the intervention? For example, SignalVine training and/or resources. Select one only Yes 1 No 0 Not sure 2 ALL C. Staff time related to intervention Please provide the requested information below or select the response for each item that best describes your time spent on the intervention. ALL 17. Using a scale of 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree, please rate how strongly you agree or disagree with each of the following statements about the time required for the intervention: Select one per row Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree Not sure a. I had difficulty keeping up with my usual responsibilities during the intervention period. 1 2 3 4 5 6 b. My work with those in the treatment group (received texts) was more time consuming than my work with the control group (didn’t receive texts from us). 1 2 3 4 5 6 c. The improvement in outcomes from the intervention was worth the amount of time required to implement the intervention. 1 2 3 4 5 6 D. Perceptions of the intervention Please provide the requested information below or select the response for each item that best describes your understanding of and experience with the intervention. ALL 18. Using a scale of 1 to 4, where 1 = Not at all successful and 4 = very successful, please rate how well the intervention succeeded at the following goals: Select one per row Not at all successful Somewhat successful Successful Very successful Not sure a. Increasing participant awareness and knowledge of SNAP E&T 1 2 3 4 5 b. Making more initial contacts with participants 1 2 3 4 5 c. Connecting more participants to SNAP E&T 1 2 3 4 5 d. Enrolling more participants in activities (components) 1 2 3 4 5 ALL 19. Using a scale of 1 to 5, where 1 = Very dissatisfied and 5 = Very satisfied, please rate your satisfaction with each of the following statements about the overall intervention: Select one per row Very dissatisfied Dissatisfied Neutral Satisfied Very satisfied Not sure a. Skills you gained as a result of implementing the intervention (such as increased familiarity with new technology or outreach processes) 1 2 3 4 5 6 b. Amount of training or technical assistance provided during the planning process of the intervention 1 2 3 4 5 6 c. Amount of training or technical assistance provided during the implementation process of the intervention 1 2 3 4 5 6 d. Changes in processes brought about by the intervention 1 2 3 4 5 6 e. Amount of time required for you and other staff to implement the intervention 1 2 3 4 5 6 f. Intervention overall 1 2 3 4 5 6 E. Challenges and improvements ALL 20. Using a scale of 1 to 4, where 1 = Not at all a challenge and 4 = A major challenge, how would you rate each of these potential challenges in implementing the intervention? Select one per row Not at all a challenge A slight challenge A moderate challenge A major challenge Not sure a. Having enough training on intervention processes 1 2 3 4 5 b. Having enough time to prepare to implement the intervention 1 2 3 4 5 c. Having adequate time to implement the intervention in addition to usual responsibilities 1 2 3 4 5 d. Working at or beyond capacity due to increased enrollment or participation in activities resulting from the intervention 1 2 3 4 5 e. Having adequate documentation, tools, or resources during the intervention 1 2 3 4 5 f. Adjusting to unexpected events, policy changes, or local economic shifts 1 2 3 4 5 ALL 21. Using a scale of 1 to 4, where 1 = Not at all important and 4 = Very important, how important would these program aspects be for the success of this intervention if it were to continue? Select one per row Not at all important Somewhat important Important Very important Not sure a. Hiring or delegating staff to be responsible for certain aspects of the intervention 1 2 3 4 5 b. Having intervention responsibilities spread across multiple staff 1 2 3 4 5 c. Having adequate training on intervention processes 1 2 3 4 5 d. Having adequate training on data collection 1 2 3 4 5 e. Having a comprehensive implementation guide, manual, or process document 1 2 3 4 5 f. Having additional funding to offset staffing costs, marketing materials, etc. 1 2 3 4 5 ALL 22. Are there any other program aspects not listed above that you would consider important for the success of the intervention? (FIELD DESCRIPTION) (STRING (NUM)) ALL 23. Is there anything else you would like us to know about your experience or challenges implementing the intervention? (FIELD DESCRIPTION) (STRING (NUM)) Questionnaire for Connecticut A. Background Please provide the requested information below or select the response for each item that best describes your background. ALL 1. What is your job title? (write-in) (FIELD DESCRIPTION) (STRING (NUM)) ALL 2. How many years have you been in your current role? Select one only Less than one year 1 1 to 2 years 2 3 to 5 years 3 6 to 10 years 4 11 to 15 years 5 More than 15 years 6 ALL AGENCY NAME 3. Including your work for Connecticut State, how many total years of experience do you have doing similar work? Select one only Less than one year 1 to 2 years 1 3 to 5 years 2 6 to 10 years 3 11 to 15 years 4 More than 15 years 5 ALL 4. In your current position, are you: Select one only A permanent employee 1 A temporary employee (e.g., on a contract or acting as a consultant) 2 A volunteer 3 ALL 5. What is your current work status? Select one only Full-time employee (30 hours per week or more) 1 Part-time employee (1 to 29 hours per week) 2 Work on an as-needed basis 3 ALL 6. What is your gender? Select one only Male 1 Female 2 Other (SPECIFY) 99 Specify (STRING (NUM)) ALL 7. Are you of Hispanic, Latino/a, or Spanish origin? Select one only No, not of Hispanic, Latino/a, or Spanish origin 1 Yes, Hispanic, Latino/a or Spanish origin 2 ALL 8. What is your race? Select all that apply American Indian or Alaska Native 1 Asian 2 Black or African American 3 Native Hawaiian or other Pacific Islander 4 White 5 Other (SPECIFY) 99 Specify (STRING (NUM)) ALL 9. What is the highest level of education you have completed? Select one only Less than a high school diploma 1 High school diploma (not General Education Development or GED) 2 General Education Development or GED 3 Some college (no degree) 4 2-year or 3-year college degree (Associate’s Degree) 5 4-year college degree (Bachelor’s Degree) 6 Graduate degree (Master’s Degree, such as Master of Social Work or Public Health) 7 Professional degree (Juris Doctorate, Medical Doctor, etc.) 8 Doctoral degree or equivalent 9 Other (SPECIFY) 99 Specify (STRING (NUM)) B. Staff responsibilities Please provide the requested information below or select the response for each item that best describes your responsibilities and contact with participants. ALL 10. What are your responsibilities as part of the intervention? Select all that apply Recruiting and outreach to participants. (For example, conducting phone or text outreach to share information about your program.) 1 Enrolling and intake. (For example, signing people up for training and administering initial assessments.) 2 Providing direct services. (For example, conducting case management, counseling, job search assistance, or administering supportive services.) 3 Offering group instruction. (For example, teaching occupational or vocational skills courses, soft skills workshops, or GED preparation classes.) 4 Managing/supervising staff. (For example, overseeing the staff who provide services to participants.) 5 Other (SPECIFY) 99 Specify (STRING (NUM)) [IF CHECKED YES TO DIRECT SERVICES, GO TO 11 AND 12; IF NO, SKIP TO 13 11. How many participants were on your caseload (that is, how many participants did you work with on an ongoing basis) in an average month before the intervention began? Select one only I do not carry a caseload. 1 1 to 15 participants 2 16 to 30 participants 3 31 to 50 participants 4 51 to 75 participants 5 More than 75 participants 6 ALL 12. How many participants were on your caseload (that is, how many participants did you work with on an ongoing basis) per month on average during the intervention? Select one only I do not carry a caseload. 1 1 to 15 participants 2 16 to 30 participants 3 31 to 50 participants 4 51 to 75 participants 5 More than 75 participants 6 ALL 13. In the past 12 months, how long was the longest formal training (either in person or web-based) you received on skills needed for your job (in general, not just for the intervention)? Select one only I did not receive any formal training in the past 12 months. 1 1 to 2 hours 2 Half a day 3 A full day 4 Multiple days 5 ALL 14. Did you have formal tools or resources specific to your role available during the intervention? For example, did you have an RCE process document or implementation guide available? Select one only Yes 1 No 0 Not sure 2 ALL 15. During the intervention, what percentage of the participants you served were of Hispanic, Latino/a, or Spanish origin? Select one only Less than 25% 1 25-50% 2 51-75% 3 Over 75% 4 Not sure 5 16. During the intervention, what percentage of the participants you served were: Select one per row Less than 25% 25-50% 51-75% Over 75% Not sure a. American Indian or Alaska Native 1 2 3 4 5 b. Asian 1 2 3 4 5 c. Black or African American 1 2 3 4 5 d. Native Hawaiian or Pacific Islander 1 2 3 4 5 e. White 1 2 3 4 5 f. Other 1 2 3 4 5 C. Staff time related to intervention Please provide the requested information below or select the response for each item that best describes your time spent on the intervention. ALL 17. Using a scale of 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree, please rate how strongly you agree or disagree with each of the following statements about the time required for the intervention: Select one per row Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree Not sure a. The changes in processes as a result of the intervention saved me time compared to my usual job responsibilities before the intervention. (For example, the intervention resulted in less manual work to follow up individually with participants.) 1 2 3 4 5 6 b. I had difficulty keeping up with my usual responsibilities during the intervention period. 1 2 3 4 5 6 c. My work with those in the treatment group was more time consuming than my work with the control group. 1 2 3 4 5 6 d. The improvement in outcomes from the intervention was worth the amount of time required to implement the intervention. 1 2 3 4 5 6 D. Perceptions of the intervention Please provide the requested information below or select the response for each item that best describes your understanding of and experience with the intervention. ALL 17. Using a scale of 1 to 4, where 1 = Not at all successful and 4 = very successful, please rate how well the intervention succeeded at the following goals: Select one per row Not at all successful Somewhat successful Successful Very successful Not sure 1 2 3 4 5 a. Making more initial contacts with participants 1 2 3 4 5 b. Connecting more participants to SNAP E&T 1 2 3 4 5 c. Connecting more participants to case management services 1 2 3 4 5 d. Increasing provision of participant reimbursements (e.g., transportation or childcare assistance) 1 2 3 4 5 e. Enrolling more participants in activities (components) 1 2 3 4 5 f. Helping participants meet work requirements and retain their SNAP benefits 1 2 3 4 5 g. Increasing participant attendance in activities 1 2 3 4 5 h. Preventing participant drop-offs in activities or early termination 1 2 3 4 5 i. Improving participants’ employment outcomes (e.g., higher job retention) 1 2 3 4 5 ALL 19. Using a scale of 1 to 5, where 1 = Very dissatisfied and 5 = Very satisfied, please rate your satisfaction with each of the following statements about the overall intervention: Select one per row Very dissatisfied Dissatisfied Neutral Satisfied Very satisfied Not sure a. Skills you gained as a result of implementing the intervention (such as increased familiarity with new technology or outreach processes) 1 2 3 4 5 6 b. Amount of training or technical assistance provided during the planning process of the intervention 1 2 3 4 5 6 c. Amount of training or technical assistance provided during the implementation process of the intervention 1 2 3 4 5 6 d. Changes in processes brought about by the intervention 1 2 3 4 5 6 e. Changes in services that participants received 1 2 3 4 5 6 f. Amount of time required for you and other staff to implement the intervention 1 2 3 4 5 6 g. Intervention overall 1 2 3 4 5 6 E. Challenges and improvements ALL 20. Using a scale of 1 to 4, where 1 = Not at all a challenge and 4 = A major challenge, how would you rate each of these potential challenges in implementing the intervention? Select one per row Not at all a challenge A slight challenge A moderate challenge A major challenge Not sure a. Having enough training on intervention processes 1 2 3 4 5 b. Having enough training on data collection for the intervention 1 2 3 4 5 c. Having enough time to prepare to implement the intervention 1 2 3 4 5 d. Having adequate time to implement the intervention in addition to usual responsibilities 1 2 3 4 5 e. Working at or beyond capacity due to increased enrollment or participation in activities resulting from the intervention 1 2 3 4 5 f. Having adequate documentation, tools, or resources during the intervention 1 2 3 4 5 g. Adjusting to unexpected events, policy changes, or local economic shifts 1 2 3 4 5 ALL 21. Using a scale of 1 to 4, where 1 = Not at all important and 4 = Very important, how important would these program aspects be for the success of this intervention if it were to continue? Select one per row Not at all important Somewhat important Important Very important Not sure a. Hiring or delegating staff to be responsible for certain aspects of the intervention 1 2 3 4 5 b. Having intervention responsibilities spread across multiple staff 1 2 3 4 5 c. Having adequate training on intervention processes 1 2 3 4 5 d. Having adequate training on data collection 1 2 3 4 5 e. Having a comprehensive implementation guide, manual, or process document 1 2 3 4 5 f. Having additional funding to offset staffing costs, marketing materials, etc. 1 2 3 4 5 ALL 22. Are there any other program aspects not listed above that you would consider important for the success of the intervention? (FIELD DESCRIPTION) (STRING (NUM)) ALL 23. Is there anything else you would like us to know about your experience or challenges implementing the intervention? (FIELD DESCRIPTION) (STRING (NUM))