Supporting and Strengthening the Home Visiting Workforce (SAS-HV): Testing and Validation of a Draft Measure of Reflective Supervision for Home Visiting

Instrument 4: Participant Perspectives of the Reflective Supervision Measure

NOTE to OMB: This instrument will be completed by participants in the developmental sample pretest immediately after they complete the participant characteristics and context questionnaire (Instrument 1) and the reflective supervision measure (Instrument 3). The introduction and informed consent are included with participant characteristics and context questionnaire (Instrument 1)

Now we’d like to ask you a few questions about your experience completing the reflective supervision measure.

About how long (in minutes) did it take you to complete the reflective supervision measure? _____________

	Strongly disagree	Disagree	Agree	Strongly agree	Comments and explanation for your response
It was easy for me to complete this measure about my most recent reflective supervision session.	□	□	□	□
I was able to complete the measure all at one time, without having to stop and finish later.	□	□	□	□
The instructions for completing the measure were clear.	□	□	□	□
The questions on the measure were clear.	□	□	□	□
It would be easy for me to complete the measure shortly after a reflective supervision session.	□	□	□	□
These are good questions to ask about what happens in reflective supervision sessions.	□	□	□	□
I would prefer to complete this kind of measure on paper rather than online.	□	□	□	□
The length of this measure is just about right - not too long or burdensome to complete.	□	□	□	□
The answer options for the measure make sense and worked well for most or all of the items.	□	□	□	□
The questions seemed overly redundant or repetitive.	□	□	□	□

Please share any additional feedback about the reflective supervision measure.

About how long have you been providing reflective supervision to this home visitor?  

1. Less than 3 months 

2. Between 3 months and 6 months 

3. More than 6 months but less than one year 

4. One year or more 

Did you serve as a home visitor alongside this home visitor prior to becoming their supervisor?

1. Yes

2. No

Does the home visitor identify as Hispanic, Latino, or Spanish origin? 

1. Yes 

2. No 

3. Not sure, the home visitor has not shared this information 

4. Prefer not to answer 

 

Which race does the home visitor identify as? 

1. American Indian Alaska Native 

2. Asian 

3. Black or African American 

4. Native Hawaiian Other Pacific Islander 

5. White 

6. Other, please describe 

7. Not sure, the home visitor has not shared this information 

8. Prefer not to answer