Instrument E- Survey of MOMS Moving Forward session Attendees_V3_clean

Survey of MOMS Moving Forward Session Attendees OMB Control Number: 0970-0531

Expiration Date: 7/31/2022

Survey of MOMS moving forward session attendees

Introduction

A research organization named Mathematica is working with Viability to improve the MOMS Partnership program. We are going to ask you some questions about the MOMS Moving Forward session you just attended. The answers to your questions will help improve the MOMS Moving Forward sessions for future attendees. It should take about 5 minutes to complete this survey.

You can decline to complete the survey or leave any questions blank. Your individual response will not be associated with your name. All responses will be combined; no one outside the research team will know how you responded.

The Paperwork Reduction Act Statement: This collection of information is voluntary and will be used to gather information for the purpose of rapid-cycle learning activities to strengthen programs. Public reporting burden for this collection of information is estimated to average 5 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. The OMB number and expiration date for this collection are OMB #: 0970-0531, Exp: 07/31/2022. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden, to Sheena McConnell; smcconnell@Mathematica-mpr.com

1. To what extent do you agree or disagree with the following statements?

   Statement	Strongly disagree	Disagree	Agree	Strongly agree	N/A
   The information discussed in the group was helpful to me as I looked for a job.	1 	2 	3 	4 	5 
   The length of the group felt right to me (not too long or short).	1 	2 	3 	4 	5 
   The number of moms in the group felt right to me (not too many or too few).	1 	2 	3 	4 	5 
   The location of the group was easy for me to get to.	1 	2 	3 	4 	5 
   The day and time of the group worked well for me.	1 	2 	3 	4 	5 
   It is helpful to receive reminders about upcoming groups.	1 	2 	3 	4 	5 
   I feel it is important for me to attend the next group.	1 	2 	3 	4 	5 
   The group is a good use of my time.	1 	2 	3 	4 	5 

2. I attended the group:

1. In person

2. Virtually

3. I would have preferred to attend the group:

1. In person

2. Virtually

3. No preference

4. In your opinion, what would be the best way to receive reminders about upcoming classes?

1. Email

1. Text message

2. Phone call

5. What topics would you like to see future MOMS Moving Forward sessions focus on (for example, online job search, interviewing, training opportunities)? [Open text box]

6. I have met individually with the following MOMS Partnership staff (select all that apply):

a. Someone who facilitates the stress management course

b. Someone who helps me prepare for work

c. Someone who tells me about job openings and connects me with employers

d. I have not met individually with anyone from MOMS Partnership

7. If you have met with someone one-on-one, how did it go? What worked well? What could be improved? [Open text box]

8. What topics might you like to discuss with MOMS Partnership staff in the future? [Open text box]

DRAFT 3