RNL Network Satisfaction Survey

Attachment H – Core VIPP Evaluation

Form Approved
OMB No. 0920-0916
Exp. Date:

Survey: 2012-2013 RNL Network Satisfaction Survey
Public Reporting burden of this collection of information is estimated at 60 minutes per
response, including the time for reviewing instructions, research exiting 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 CDC/ATSDR Reports Clearance Officer, 1600
Clifton Road NW, MS D-74, Atlanta, GA 30333; Attn: PRA (0920-0916).

Background
In 2011, the CDC National Center for Injury Prevention and Control funded five states to
coordinate regional networks of state injury and violence prevention programs. The networks
were organized by federal Department of Health and Human Services regions.
The purpose of the regional networks is to facilitate collaboration between states in their
respective regions and ultimately create sustainable, formalized regional networks and
relationships. Through efforts facilitated by the Regional Network Leaders, members of regional
networks are anticipated to engage in peer-to-peer learning, to exchange information, and to
provide technical assistance to one another.
The purpose of this Network Satisfaction Survey is to help determine whether the regional
network leader model is meeting the needs of network members and to provide input for
network improvement. The survey is intended for network members that participated and/or
interacted in regional network activities over the past year (August 2012 – July 2013).

If you have any questions about this survey, please contact your regional network leader
at lhaskett@kdheks.gov.

The survey will take approximately 60 minutes to complete. Note: Due to skip logic, you
cannot return to a previous page. You must complete the survey in one sitting. Questions
marked with an * are required.

Confidentiality Statement
This survey is being administered by Safe States Alliance. Safe States will share de-identified
data with the Regional Network Leaders and CDC, and create summary reports based on the
data collected. All information shared through this survey will be kept confidential. Individual
names and organizations will not be reported.

Please complete the survey by the close of business on Friday, October 25.

Demographics
1. With what type of organization are you are affiliated? *
State Health Department
Injury Control Research Center
Trauma Center/Hospital
Other

2. As of July 2013, how long have you been a member of the Regional Network?
Less than 6 months
6 months – 1 year
1-2 years
More than 2 years

3. Overall, to what degree do you participate in network-related activities (e.g., calls,
webinars, etc.)? *
Never participate
Rarely participate
Occasionally participate
Usually participate
Always participate

Part I - Usefulness/Value of the Network
4. Please rate the Regional Network in the following areas. The network has been useful in:
Strongly
agree
Improving my connection with peers in the region *
Improving my awareness of other activities and resources in the
region *
Increasing my opportunities to share/learn best practices *
Increasing my knowledge of CDC-related initiatives and
opportunities *
Increasing my knowledge and skills in the IVP field *
Meeting colleagues I can turn to for advice/support *
Improving my connection with an academic research center *
Increasing my opportunities for training *

Agree

Disagree

Strongly
disagree

4a. Other:

5. Thinking about the connections you have made WITHIN the Regional Network, what types of
organizations have you engaged as a result of your involvement/participation in the network?
Examples of partnership engagement include reciprocal coalition representation, shared ideas,
shared data, actively involved in IVP planning, programs, etc. Please check all that apply. *
NONE
State injury and violence prevention (IVP) programs in the network
Other state agencies within your state
Other state agencies outside your state, but in the network
ICRCs / Academic Research Centers within your state
ICRCs / Academic Research Centers outside your state, but in the network
Non-governmental organization within your state
Non-governmental organization outside your state, but in the network
Other (please specify):

6. Thinking about the connections you have made OUTSIDE of your Regional Network, what
types of organizations have you engaged as a result of your involvement/participation in the
network? Examples of partnership engagement include reciprocal coalition representation,
shared ideas, shared data, actively involved in IVP planning, programs, etc. Please check all
that apply. *
NONE
State injury and violence prevention (IVP) programs
Other state agencies
ICRCs / Academic Research Centers
Non-governmental organization
Other (please specify):

7. Please list the top three (3) organizations (within or outside of your network) that you have
engaged as a result of your involvement/participation in the Regional Network.
Organization Name
#1
#2
#3

Part I - Usefulness/Value of the Network

8a. Which state injury and violence prevention programs WITHIN the Regional Network, have
you engaged as a result of your involvement/participation in the network? *
Colorado

Nebraska

Iowa

North Dakota

Kansas

South Dakota

Missouri

Utah

Montana

Wyoming

8b. Which state injury and violence prevention programs OUTSIDE the Regional Network, have
you engaged as a result of your involvement/participation in the network? *
Alabama

Louisiana

Oregon

Alaska

Maine

Pennsylvania

Arizona

Maryland

Puerto Rico

Arkansas

Massachusetts

Rhode Island

California

Michigan

South Carolina

Connecticut

Minnesota

Tennessee

Delaware

Mississippi

Texas

District of Columbia

Nevada

US Pacific Islands

Florida

New Hampshire

Vermont

Georgia

New Jersey

Virgin Islands

Hawaii

New Mexico

Virginia

Idaho

New York

Washington

Illinois

North Carolina

West Virginia

Indiana

Ohio

Wisconsin

Kentucky

Oklahoma

9. Thinking about the organizations you engaged as a result of your involvement/participation
in the Regional Network, please indicate the ways in which you interacted with other the
organizations within/outside of the region. *
Shared resources, tools, best practices, ideas, or information
Provided or received technical assistance (e.g., training, skill-building, etc.)
Shared data
Involvement in IVP program planning and/or implementation
Collaborated on communication activities
Collaborated on policy-related activities
Collaborated on evaluation activities
Other (please specify):

10. Has your participation in the network changed or enhanced your own work in any way? If
yes, please explain how? *
Yes
No
Not sure

Part II - Network Meetings
11. Does your region hold network conference calls or webinars? *
Yes
No

Part II - Network Meetings
11a. Do you receive enough advance notice of the calls/webinars to fit them into your
schedule?
Never
Rarely
Occasionally
Usually
Always

11b. Do you feel that network calls/webinars a good use of your time? Why or why not?
Yes
No
Not sure

11c. How could network calls/webinars be improved?

Part II - Network Meetings
12. Have you attended an in-person meeting of the Regional Network? *
Yes, I attended physically
Yes, I attended virtually

No, I do not attend
My Regional Network does NOT conduct in-person meetings

Part II - Network Meetings
12a. Are the in-person meetings a good use of your time?
Yes
No
Sometimes

12b. What was the best aspect of the in-person meetings?

12c. How could in-person meetings be enhanced or improved?

Part III - Perspectives on Network Leadership
13. How well does Regional Network’s leadership seem to understand the needs of network
members? *
Extremely well
Well
Slightly well
Not at all well

14. How helpful has the Regional Network leadership been in facilitating your participation in
the network? *
Extremely helpful
Helpful
Slightly helpful
Not at all helpful

15. How well do you feel that the network leadership listens to you and understands your needs
or concerns? *
Extremely well
Well
Slightly well
Not at all well

16. How responsive is the Regional Network leadership? *
Extremely responsive
Responsive
Slightly responsive
Not at all responsive

17. How comfortable are you with contacting the Regional Network leadership? *
Extremely comfortable
Comfortable
Slightly comfortable
Not at all comfortable

18. Overall, how would you rate the Regional Network's facilitation of the network? *
Excellent
Good
Needs improvement
Poor

19. Please provide any additional comments you have about the support provided by
Regional Network’s leadership.

Part IV - General Feedback on the Network

We value your input for improving the network. Please provide additional
feedback.

20. What is the best part of participating in the network?

21. What (if anything) do you like least about participating in the network?

22. What would you change about the network?

23. What can the network do to better support your work in violence and injury prevention?

24. Please provide any additional comments or suggestions you have about the Regional
Network.

*Due to skip logic, you cannot return to a previous page.