Form 1 Survey

OMB Control Number: xxxx-xxxx

Expiration Date: xx/xx/xxxx

Child Welfare Information Gateway Follow-up Survey

Approximately 4 weeks ago you completed the Child Welfare Information Gateway (Information Gateway) Customer Survey and agreed to participate in this 5-10 minute follow-up survey. The purpose is to understand how you use Information Gateway and the helpfulness of Information Gateway to your work, both for your last visit (Section I) and over the past year (Section II). Your participation is voluntary, and all reporting will maintain your confidentiality. If you would prefer to provide your responses by telephone or have any questions, please contact Information Gateway staff at 800.394.3366 or info@childwelfare.gov.

Section I: This section asks about your experience using Information Gateway services 4 weeks ago.

1. When you completed our first survey 4 weeks ago, you indicated that you were looking for (insert topic of information from customer survey). Did you receive the information you needed?

   • I received all of the information I needed.

   • I received some of the information I needed. Please explain________________________

   • I did not receive the information I needed. Please explain___________________________

2. Please briefly describe how you used/applied the information/resources/tools you received 4 weeks ago.

Section II: This section asks about your experiences using Information Gateway services over the past year (including all the times that you have visited the website, found resources through links on the website, ordered a publication/product, received emails such as Children’s Bureau Express or E-lert!, or contacted our customer service staff by phone, email, or live chat).

3. In the past year, when you received information/resources/tools through Information Gateway, how often were you able to use them to inform your work?

• Never

• Some of the time

• Most of the time

• All of the time

• Does not apply

4. Please indicate the extent to which you agree with the statements in the table below.

	Strongly disagree	Somewhat disagree	Neutral	Somewhat agree	Strongly agree	N/A
Information Gateway is the first place I go when I need to find information to help me in my work.	1	2	3	4	5	N/A
Information Gateway serves as a ‘one stop shop’ for accessing the information, links, resources, and referrals that I need.	1	2	3	4	5	N/A
Access to Information Gateway helps me to more effectively work across different programs/systems.	1	2	3	4	5	N/A
In general, the information/resources/tools made available through Information Gateway…
a. Increase knowledge or inform attitudes for professionals working with children and families	1	2	3	4	5	N/A
b. Allow professionals working with children and families to have better access to publications/products	1	2	3	4	5	N/A
c. Support improved outcomes for children and families	1	2	3	4	5	N/A

5. If Information Gateway did not exist, please select the various ways in which your work might be affected:

• It would take me longer to find information/resources.

• It would cost more money to get the information/resources needed.

• It would make my job more difficult.

• It would be harder to keep informed of effective practice.

• It would be harder to implement and sustain effective policies and programs.

• It would be harder to stay current on the latest research and trends.

• It would be more difficult to share information/resources with others.

• It would be more difficult to train staff and other colleagues.

• I would not have adequate access to child welfare related publications and products.

• Other (Please describe)_________________________________

• Not applicable/My work would not be affected.

The next questions on the survey involve skip patterns regarding how resources/information/tools from Information Gateway may have been used. This means that checking yes to some questions results in follow-up questions asking about the issue in more depth that will appear on the next page. We recognize that the same information can be used in multiple ways, so please check all that may be applicable.

6. In the past year, have any of the information/resources/tools you received through Information Gateway increased your knowledge or informed your attitudes?

   • Yes (go to question 6a)

   • No (go to question 7)

6a. How often in the past year did the information/resources/tools received increase your knowledge or informed your attitudes?

• Never

• Some of the time

• Most of the time

• All of the time

6b. Please describe how the information/resources/tools received increased your knowledge or informed your attitudes: ______________________

6c. Please rate the helpfulness of the information/resources/tools received for increasing your knowledge or informing your attitudes:

• Very helpful

• Somewhat helpful

• Neutral

• Not very helpful

• Not at all helpful

7. In the past year, have you shared the information/resources/tools you received or referred others to Information Gateway on at least one occasion (e.g., in formal training, with families and/or clients, with colleagues, in education/advising settings)?

   • Yes (go to question 7a)

   • No (go to question 8)

7a. Have you shared the information/resources/tools you received or referred others to Information Gateway in a formal training/education/coaching environment (e.g., classroom, workshop, webinar, advising)?

• Yes (go to question 7b)

• No (go to question 7d)

7b. How many people did you share the information/resources/tools with or refer to Information Gateway in a formal training? (Please enter your best estimate in a number format)_________ (the software will be configured to only allow numbers)

7c. How helpful were the information/resources/tools for training preparation and delivery?

• Very helpful

• Somewhat helpful

• Neutral

• Not very helpful

• Not at all helpful

7d. Outside of a formal training environment, with whom did you share the information/resources/tools or refer to Information Gateway? (Check all that apply)

• Colleagues/Coworkers

• Staff

• Clients or families

• Students

• Other organizations/agencies (Please specify_________)

• Other: ____________________

7e. Outside of a formal training environment, with how many people did you did you share the information/resources/tools with or refer to Information Gateway? (Please enter your best estimate in a number format)_________ (the software will be configured to only allow numbers)

7f. Outside of a formal training environment, how helpful was Information Gateway for sharing and referring resources with others?

• Very helpful

• Somewhat helpful

• Neutral

• Not very helpful

• Not at all helpful

8. In the past year, have you used any of the information/resources/tools you received through Information Gateway to support practice improvement or to sustain good practice?

   • Yes (go to question 8a)

   • No (go to question 9)

8a. In the past year, on how many occasions did you use the information/resources/tools received to support practice improvement or to sustain good practice? (Please enter your best estimate in a number format)_________ (the software will be configured to only allow numbers)

8b. Please describe how you used the information/resources/tools to support practice improvement or sustain good practice:_____________________________

8c. Please rate the helpfulness of the information/resources/tools received in supporting practice improvement or sustaining good practice:

• Very helpful

• Somewhat helpful

• Neutral

• Not very helpful

• Not at all helpful

9. In the past year, have you used any of the information/resources/tools you received through Information Gateway to implement, sustain, or improve programs (e.g., program management, logic model development, program evaluation)?

   • Yes (go to question 9a)

   • No (go to question 10)

9a. On how many occasions during the past year did you use information/resources/tools received to implement, sustain, or improve programs? (Please enter your best estimate in a number format)_________ (the software will be configured to only allow numbers)

9b. Please describe how you used the information/resources/tools to implement, sustain, or improve programs:_____________________________

9c Please rate the helpfulness of information received to implement, sustain, or improve programs:

• Very helpful

• Somewhat helpful

• Neutral

• Not very helpful

• Not at all helpful

10. In the past year, have any of the information/resources/tools you received through Information Gateway enabled you/your organization to support policy change or sustain good policies (e.g., policy validation, development, evaluation)?

    • Yes (go to question 10a)

    • No (go to question 11)

10a. On how many occasions during the past year did you use the information/resources/tools to support policy change or sustain good policies? (Please enter your best estimate in a number format)________ (the software will be configured to only allow numbers)

10b. Please describe how you used the information/resources/tools to support policy change or sustain good policies:_____________________________

10c. Please rate the helpfulness of information/resources/tools received for supporting policy change or sustaining good policies:

• Very helpful

• Somewhat helpful

• Neutral

• Not very helpful

• Not at all helpful

11. In the past year, have you used any of the information/resources/tools you received through Information Gateway for advocacy purposes?

    • Yes (go to question 11a)

    • No (go to question 12)

11a. On how many occasions in the past year were you able to advocate better by using the information/resources/tools received? (Please enter your best estimate in a number format)_________ (the software will be configured to only allow numbers)

11b. Please describe how the information/resources received contributed to your advocacy efforts: _____________________________

11c. Please rate the helpfulness of the information/resources/tools received for helping you advocate more effectively:

• Very helpful

• Somewhat helpful

• Neutral

• Not very helpful

• Not at all helpful

12. In the past year, have you used any of the information/resources/tools you received through Information Gateway for research or evaluation purposes?

    • Yes (go to question 12a)

    • No (go to question 13)

12a. How many research or evaluation efforts were informed in the past year by the information/resources/tools received? (Please enter your best estimate in a number format)_________ (the software will be configured to only allow numbers)

12b. Please describe how the information/resources/tools received contributed to your research or evaluation effort: _____________________________

12c. Please rate the helpfulness of the information/resources/tools received for informing your research or evaluation:

• Very helpful

• Somewhat helpful

• Neutral

• Not very helpful

• Not at all helpful

13. In the past year, have you used information/resources/tools received through Information Gateway for other professional purposes not mentioned above?

    • Yes (Please describe how the information was used)_____________________________

    • No

14. Please provide any additional examples of how you used or directed others to use Information Gateway and the difference it made in their work with children and families.

15. Do you have any suggestions for changes Information Gateway can make to ensure that its resources and services are readily accessible and helpful to your work?

Thank you for agreeing to participate in this survey.

Your input will help strengthen Child Welfare Information Gateway products and services.

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13)

Public reporting burden of this collection of information is estimated to average 0.17 hours per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number.

Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to DHHS/ACF Reports Clearance Officer; 370 L’Enfant Promenade, S.W., Washington, D.C. 20447.

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