THV CQICs Process Study Survey
Qualtrics Survey Introduction (Introductory email will include more specifics about who is leading the study, its purpose, and how information will be used)
As a member of the Continuous Quality Improvement Collaborative (CQIC) Team within your Tribal Home Visiting (THV) program, we invite you to complete this survey to provide feedback on your team’s experience participating in the CQIC since the January 2021 re-launch. This survey will take up to 10 minutes to complete and all responses will remain private.
Your participation in the survey is voluntary. You may decline to answer any question you do not wish to answer. There are no risks involved in participating in the survey. While you will not receive any direct benefits from participating in this survey, your responses will be used to help us learn more about your experience participating in the CQIC.
Your survey responses will be stored in a password-protected electronic database. Only select study team members will be able to access survey data. Your name or any other personally identifying information will not appear in any report. Your responses to this survey will remain private to the extent permitted by law.
Please select your choice below. Clicking on the “Agree” button indicates that:
You have read the above information
You voluntarily agree to participate
[Next]
Instructions:
While completing the survey, please reflect on the CQIC and think about specific ways in which your team applied what you learned from the experience.
Please take your time as you provide responses. Accurate and complete responses are critical. Your responses will help determine the outcomes of the CQIC and inform future collaboratives. By completing this survey, you ensure your input is included with responses of other respondents.
Please be objective in providing your responses. Your name will not be linked to your survey. Your responses will be consolidated with others. All survey responses will be kept with the Tribal Evaluation Institute (TEI) Study Team and only aggregated data will be shared.
Thank you for your time and valuable feedback.
START OF THE SURVEY
As a result of participating in the CQIC, please rate your team’s capability in completing the following activities:
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Please rate the extent to which you agree with the following statements...
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Please rate the extent to which you agree with the following statements. During my participation in the CQIC... |
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Please rate the extent to which each of these collaborative activities was a challenge for your participation in the CQIC:
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Please rate the extent to which each of these collaborative activities was a challenge for your team’s participation in the CQIC:
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Please indicate the degree to which you found each of the following CQIC resources or forms of support helpful: [Will include brief description/definition of each resource and form of support in hover text within Qualtrics] |
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Click or tap here to enter text.
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Program Experience Questions
Which Tribal Home Visiting Program are you a part of? [Drop down menu]
Which of the following best describes your role in your Tribal Home Visiting Program?
Program leadership (Project Director, Project Manager, Project Coordinator)
Home Visitor
Evaluator or data team staff
Other: _______________
How long have you been involved in the [ELL/FE] CQIC? (For reference, the CQIC re-launch was initiated in January 2021)
[Drop down menu of 1-16 and >16 months]
Based on your length of time involved in this Collaborative, how confident did you feel in your ability to respond to the questions in this survey?
Very Confident
Mostly confident
Somewhat confident
Not at all confident
Thank you for your time and participation in this survey.
PAPERWORK REDUCTION ACT OF 1995 (Pub. L. 104-13): This is a voluntary collection of information. An agency may not conduct or sponsor, and a person is not required to respond to, a collection of information subject to the requirements of the Paperwork Reduction Act of 1995, unless it displays a currently valid OMB control number. The OMB # is 0970-0531 and the expiration date is 7/31/2022. If you have any comments on this collection of information, please contact Julie Morales at morales@jbassoc.com.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Brandie Buckless |
File Modified | 0000-00-00 |
File Created | 2022-06-27 |