B Attachment B - Resource Guide Survey

Voluntary Partner Surveys to Implement Executive Order 12862 in the Health Resources and Services Administration

Attachment B - Resource Guide Survey

(MIECHV MODS) Maternal, Infant, and Early Childhood Home Visiting Program (MIECHV) Developing Strategies to Facilitate Cross-Model Collaboration and Data Sharing – Customer Satisfaction Survey Forms

OMB: 0915-0212

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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.



Shape1

BASIC INFORMATION


Today's date

Shape4


Please identify the model you are affiliated with. ChildFirst EHS

Shape6 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.


Shape8


Shape9

RESOURCE GUIDE



Shape12 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

Shape14 Somewhat knowledgeable Very knowledgeable Expert

Not sure





How would you rate the complexity of the resource Much too simple

Shape16 guide? Too simple

About right Too complex

Much too complex Not sure


How likely will your model use the concepts or Very likely

Shape18 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?

Shape20


Shape21

SUGGESTIONS FOR ADDITIONAL SUPPORT


Do you have any suggestions for additional support you would like to receive to conduct research using your data?

Shape24

Shape25 Shape26

01-23-2020 5:43pm

projectredcap.org


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