Form 1 CIP Annual Meeting Survey

THE PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13) Public reporting burden for this collection of information is estimated to average 8 minutes per response, including the time for reviewing instructions, gathering and maintaining the data needed, 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.

Court Improvement Program (CIP) Meeting Feedback Survey

Thank you again for attending the Court Improvement Program (CIP) Meeting on <<insert date>>. We are interested in your opinions of the usefulness of the meeting and how it could be improved. Please take a few minutes to complete this short survey.

1. What is your primary role or position?

CIP Director CIP Staff: Data Specialist CBCC Staff or Consultant

Judge CIP Staff: Other Children’s Bureau Staff

CIP Staff: Training Coordinator Child Welfare Agency Staff Other____________________

2. In what region do you work?

Region1-Conneticut, Maine, Massachusetts, New Hampshire, Rhode Island, Vermont

Region 2-New Jersey, New York, Puerto Rico, Virgin Islands

Region 3-Delaware, District of Colombia, Maryland, Pennsylvania, Virginia, West Virginia

Region 4- Alabama, Mississippi, Florida, North Carolina, Georgia, South Carolina, Kentucky, Tennessee

Region 5-Illinois, Indiana, Michigan, Minnesota, Ohio, Wisconsin

Region 6-Arkansas, Louisiana, New Mexico, Oklahoma, Texas

Region 7-Iowa, Kansas, Missouri, Nebraska

Region 8-Colorado, Montana, North Dakota, South Dakota, Utah, Wyoming

Region 9-Arizona, California, Hawaii, Nevada, Outer Pacific—American Samoa Commonwealth of the Northern Marianas,

Federated States of Micronesia (Chuuk, Pohnpei, Yap), Guam, Marshall Islands, Palau

Region 10-Alaska, Idaho, Oregon, Washington

3. Please rate your level of satisfaction with the following aspects of the meeting:

	Extremely Dissatisfied	Dissatisfied	Neutral	Satisfied	Extremely Satisfied
Meeting content
Communication about the meeting
Organization of the meeting
Meeting rooms
Meeting planning

4. Please rate the usefulness of the following specific portions of the meeting:

	Not Useful at All	Somewhat Useful	Neutral	Useful	Extremely Useful	N/A
<<insert specific portion of meeting>>

5. Please rate your level of agreement with the following statements:

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree	N/A
The meeting gave my organization useful tools, which will be applied to our work.
I will apply the information/knowledge gained from the meeting to CIP activities.
I understand what my “next steps” are regarding incorporating CQI into our CIP work.
My organization has the resources to begin implementing changes based on information presented at the meeting.
I will share what I learned at the meeting with others on my staff.
I understand the resources available to me through the Capacity Building Center for Courts.
There was sufficient time to network with other state teams.
I networked with other state teams during breaks and downtime.
Other state teams gave me ideas I am going to try implementing in my own state.
I have a good understanding of how to begin (or continue) work related to <<insert specific topic from meeting>>

6. BEFORE the meeting, how would you rate your…:

	Low		Medium		High	Does Not Apply
Understanding of how CQI applies to your CIP work in general?
Ability to gauge effectiveness of CIP work?
Ability to use data to improve practice?
Ability to incorporate CQI principles into CIP activities?
General knowledge of <<meeting content>>
Knowledge of <<meeting content>>

7. AFTER the meeting, how would you rate your…:

	Low		Medium		High	Does Not Apply
Understanding of how CQI applies to your CIP work in general?
Ability to gauge effectiveness of CIP work?
Ability to use data to improve practice?
Ability to incorporate CQI principles into CIP activities?
General knowledge of <<meeting content>>
Knowledge of <<meeting content>>

8. To what extent do you feel prepared to apply CQI principles to your CIP projects or activities?

 Well prepared  Somewhat prepared  Not at all prepared

If Not at all, please explain why not.

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

9. To what extent do you feel prepared to apply CQI projects or activities related to <<specific topic>>?

 Well prepared  Somewhat prepared  Not at all prepared

If Not at all, please explain why not.

__________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

10. What are the three most important things you learned during this meeting?

1. _____________________________________________________________________________________________

2. _____________________________________________________________________________________________

3. ______________________________________________________________________________________________

11. What additional topics would you have liked to see covered during the meeting?

_____________________________________________________________________________________

12. What were the most successful aspects of the meeting?

_____________________________________________________________________________________

13. What aspects of the meeting were less successful?

_____________________________________________________________________________________

14. Are there any final comments you would like to share with us?

_____________________________________________________________________________________

Thank you for taking the time to complete our survey. Your responses are very important to us and will help inform future meetings.