DRAFT 
	
ATTACHMENT L
STAFF
SURVEY Question-BY-Question JUSTIFICATION
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This document provides the source and justification for each question on the Staff Survey (Attachment E).
| Question # | Question text | Source | Justification | 
| SECTION A. BACKGROUND AND PROGRAM INVOLVEMENT | |||
| 1 | What is your title in your current position with [program name or agency]? | STED/ETJD (OMB No. 0970-0413) | These items measure staff background demographic characteristics. | 
| 2 | How long have you been working in the position of [title from Q1] at [program name or agency]? | ||
| 3 | How long have you worked for [organization name]? | ||
| 4 | How would you describe yourself? | SOGI Report | |
| 5 | What is your age? | STED/ETJD (OMB No. 0970-0413) | |
| 6 | Are you Hispanic, Latino, or of Spanish origin? | OMB | |
| 7 | What is your race? | ||
| 8 | What is the highest level of education you have completed? | Adapted from cobra (OMB No. 1291-0001) | |
| 9 | In your position of [title from Q1] at [program name or agency], are you a full-time employee, part-time employee, full-time contractor or part-time contractor? | Adapted from STED/ETJD (OMB No. 0970-0413) | |
| 10-M | Which of the following are among your responsibilities in your position of [title from Q1]? | Adapted from HPOG-NIE (OMB No. 0970-0394) | These items measure the role of the staff member. | 
| 10-S | Which of the following are among your responsibilities in your position of [title from Q1]? | ||
| 11-M | On average, which of your responsibilities do you spend the most time on in a typical week? | ||
| 11-S | On average, which of your responsibilities do you spend the most time on in a typical week? | ||
| 12 | How much total work experience (including your current and prior positions) do you have in performing responsibilities similar to those you carry out as part of [program name or agency]? | JSA (OMB No. 0970-0400) | These items measure the staff member’s employment background. | 
| 12a | How much total work experience (including your current and prior positions) do you have in coaching and/or supervising coaching? | Adapted from JSA (OMB No. 0970-0400) | |
| 13a-M | In your position of [title from Q1] at [program name or agency], do you formally manage/supervise staff on an ongoing basis? | Adapted from HPOG-NIE (OMB No. 0970-0394) | These items measure the role the staff member plays in the organization. | 
| 13b-M | If yes, how many staff do you typically manage/supervise? | ||
| 13c-M | Do you supervise: coaches, case managers, workshop instructors, employment assistance frontline staff (e.g., job developers, trainers), administrative staff, and/or other? | ||
| 14a | In your position of [title from Q1] at [program name or agency], are you responsible for working with a number of participants on an ongoing basis (i.e., do you carry a “dedicated caseload” or fill in for frontline staff when needed)? | ||
| 14b | Do you work with: only participants in [treatment group], only participants in [control group], both, do not work with participants, or don’t know? | ||
| 14c | On average, how many participants do you typically work with (i.e., what is your caseload) each month? | ||
| 14d | During a typical session with a participant, what percentage of your time do you spend supporting the participant to set goals or work on plans to achieve goals? | New Developed by Mathematica/Abt | These items measure the extent to which staff use the goal setting approach. | 
| 14e | During a typical session with a participant, what percentage of your time do you spend describing and directing the participant to support services? | ||
| 15a | In your position of [title from Q1] at [program name or agency], have you participated in coaching training? | These items measure the extent to which staff have been trained in coaching. | |
| 15b | If yes, approximately when did you complete your initial coaching training at [program name or agency]? | ||
| 15c | If yes, approximately when did you complete your most recent coaching training at [program name or agency]? | ||
| 15d | What method best describes your initial coaching training and your most recent coaching training? | ||
| 15e | How many hours of coaching training have you participated in, including initial and follow-up sessions? | ||
| 15f | Did your coaching training include a manual or other written materials? | ||
| 15f-S | Do you think the manual or other written materials are useful? | ||
| 15g | Has your training included follow-up sessions or check-ins after your initial coaching training through the following methods? 
 | ||
| 16a | Does your supervisor or manager reinforce coaching techniques and strategies with you? | ||
| 16b | If yes, please select all that apply. | ||
| 16c | How frequently does your supervisor or manager use coaching techniques and strategies when meeting with you? | ||
| SECTION B. TYPES OF [PROGRAM NAME] SERVICES PROVIDED | |||
| 17-M | Based on your discussions with coaches, what is your perception of how often participants in [program name or agency] are able to accomplish the following: 
 | New Developed by Mathematica/Abt | These items measure staff beliefs in program participants’ capacity to set and achieve goals. | 
| 17a-S | Using a scale of 1 to 5, where 1 = Never and 5 = Always, please indicate how often participants who have been in [program name or agency] for less than one month are able to work with their [coach/case manager] to accomplish the following: 
 | ||
| 17b-S | Using a scale of 1 to 5, where 1 = Never and 5 = Always, please indicate how often participants who have been in [program name or agency] for more than one month are able to work with their [coach/case manager] to accomplish the following: 
 | ||
| 18 | Please indicate about how often you use the following [resources/process from curricula] with participants. Using a scale of 1 to 5, where 1 = Never and 5 = Always, please indicate how often these resources are used during one-on-one sessions with participants: 
 | JSA (OMB No. 0970-0400) | These items measure staff use of treatment intervention materials. 
			 | 
| 19 | Please indicate about how valuable you find each of these resources in helping participants gain and retain employment: 
 | ||
| 20 | Please indicate how much time it takes on average to complete each of the following [program name or agency] resources with a participant: 
 | ||
| SECTION C. AMOUNT OF STAFF SUPERVISION AND MONITORING | |||
| 21-M | On average, how often do you 
 | Adapted from HPOG-NIE (OMB No. 0970-0394) | These items measure staff frequency and mode of contact with participants and supervisors. | 
| 21a-S | On average, how often do you have contact with participants through each of the following methods? 
 | Adapted from JSa (OMB No. 0970-0400) 
			 | |
| 21b-S | On average, how often do you work with your supervisor on an ongoing basis to practice or review coaching techniques through each of the following methods? 
 | ||
| 22-S | On average, how often do you 
 | Adapted from HPOG-NIE (OMB No. 0970-0394) | |
| 23a-S | Are follow-ups conducted as part of [program name or agency] with participants after they have found a job? | Adapted from STED/ETJD (OMB No. 0970-0413) | |
| 23b-S | On average, how often do you use the following contact methods with participants after they have found a job? 
 | ||
| SECTION D. CHALLENGES TO EMPLOYMENT | |||
| 24 | Based on your experience, on average, how frequently do participants experience the challenges listed below? 
 | Adapted from JSA (OMB No. 0970-0400) | These items measure perceived challenges to participant employment. | 
| SECTION E. PROGRAM PARTICIPANTS AND NONPARTICIPATION | |||
| 25 | Using a scale of 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree, please indicate how much you agree or disagree with the following statements about staff at [program name or agency]: 
 | Adapted from JSA (OMB No. 0970-0400) | These items measure staff efforts to increase program participation. | 
| SECTION F. [PROGRAM NAME or AGENCY] AND ORGANIZATIONAL PERFORMANCE | |||
| 26 | Do you think coaching is an effective approach within [program name or agency]? | New Developed by Mathematica/Abt | These items measure staff perception of program effectiveness. | 
| 27a | On average, how many participants benefit from the coaching approach? | ||
| 27b | In your opinion, what are the characteristics of participants who benefit most from the coaching approach? | ||
| 28a | Do you think a directive and prescriptive approach with participants in [program name or agency] is effective? | ||
| 28b | In your opinion, what are the characteristics of participants who benefit most from a directive and prescriptive approach? | ||
| 29 | Using a scale of 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree, please indicate how much you agree or disagree with the following statements about [program name or agency]: 
 | Adapted from JSA (OMB No. 0970-0400) | These items measure staff perception of organizational environment. | 
| 30 | Using a scale of 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree, please rate how strongly you agree or disagree with each of the following statements about [organization name] and your experience in your position: 
 | JSA (OMB No. 0970-0400) | |
| 30 | 
 | ||
| 31 | Using a scale of 1 to 5, where 1 = Strongly Disagree and 5 = Strongly Agree, please rate how strongly you agree or disagree with each of the following statements about [organization name] and your experience in your position: 
 | ||
Sources: geniuss (gender-related measures overview), National implementation evaluation of the Health profession opportunity grants (HPOG-NIE), jsa (job search assistance), subsidized and transitional employment demonstration (STED) / enhanced transitional jobs demonstration (ETJD).
	
	
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document | 
| File Title | TANF BASELINE QXQ | 
| Subject | QxQ | 
| Author | Bethany Boland | 
| File Modified | 0000-00-00 | 
| File Created | 2021-01-20 |