OMB No. 0915-0212
Expiration: 07/31/2021
Public Burden Statement: The purpose of this information collection is to assess end user satisfaction with technical support provided. The information will be used to improve future support provided. 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. The OMB control number for this information collection is 0915-0212 and it is valid until 07/31/2021. This information collection is voluntary. Public reporting burden for this collection of information is estimated to average 0.08 hours per response, including the time for reviewing instructions, searching existing data sources, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to HRSA Reports Clearance Officer, 5600 Fishers Lane, Room 14N136B, Rockville, Maryland, 20857 or paperwork@hrsa.gov.
Resource Guide Satisfaction Survey
Thanks for working with our team on the MIECHV Developing Strategies to Facilitate Cross-Model Collaboration and Data Sharing project (MODS).
Your model recently received a resource guide offered by the MODS team to help you conduct research using your data. We would like to get feedback on the resource guide provided. This survey will only take about five minutes and will be used to improve the resources developed by the MODS Team. If you do not feel you can complete the survey, please forward it to the appropriate colleague. The responses to this survey are confidential. If you have any questions about this survey, please feel free to contact Yuko Ekyalongo at yekyalongo@childtrends.org or
612-223-3331 ex. 23.
BASIC
INFORMATION
Today's date
Please identify the model you are affiliated with. ChildFirst EHS
Family Check-Up Family Connects Family Spirit HFA
HIPPY NFP PAT
SafeCare
Other (please specify)
If you selected "Other", please specify the model's name.
RESOURCE
GUIDE
How would you rate your knowledge and/or skills Novice beginner
before reviewing the resource guide? Slightly knowledgeable Somewhat knowledgeable Very knowledgeable Expert
Not sure
How would you rate your knowledge and/or skills after Novice beginner reviewing the resource guide? Slightly knowledgeable
Somewhat knowledgeable Very knowledgeable Expert
Not sure
How would you rate the complexity of the resource Much too simple
guide? Too simple
About right Too complex
Much too complex Not sure
How likely will your model use the concepts or Very likely
knowledge gained from the resource guide for future Likely
analysis work? Unlikely
Very unlikely Not sure
Any additional comments or feedback about strengths or ways to improve the resource guide?
SUGGESTIONS
FOR ADDITIONAL SUPPORT
Do you have any suggestions for additional support you would like to receive to conduct research using your data?
01-23-2020
5:43pm
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