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Families in Program and Policy (FiPPs) Report: Feedback Survey

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* 1. Are you completing this survey from a:

Parent perspective?

Professional perspective?

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* 2. Are you employed by Title V?

Yes

No

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* 3. For which report are you providing feedback?

FiPPS MCH report

FiPPS CSHCN report

Both reports

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* 4.

	Not Useful				Very Useful
4. How useful is the information in the FiPPs report(s)?	4. How useful is the information in the FiPPs report(s)? Not Useful	4. How useful is the information in the FiPPs report(s)?	4. How useful is the information in the FiPPs report(s)?	4. How useful is the information in the FiPPs report(s)?	4. How useful is the information in the FiPPs report(s)? Very Useful

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* 5. Please provide examples of how you plan to use or have used information from the FiPPs reports(s):

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* 6. How useful is/are the FiPPs report(s) to you in promoting:

	Not Useful				Very Useful
Family members on advisory committees	Family members on advisory committees Not Useful	Family members on advisory committees	Family members on advisory committees	Family members on advisory committees	Family members on advisory committees Very Useful
Financial support for parent groups or parent activities	Financial support for parent groups or parent activities Not Useful	Financial support for parent groups or parent activities	Financial support for parent groups or parent activities	Financial support for parent groups or parent activities	Financial support for parent groups or parent activities Very Useful
Family member participation in planning, implementing and evaluating program activities	Family member participation in planning, implementing and evaluating program activities Not Useful	Family member participation in planning, implementing and evaluating program activities	Family member participation in planning, implementing and evaluating program activities	Family member participation in planning, implementing and evaluating program activities	Family member participation in planning, implementing and evaluating program activities Very Useful
Family members providing/participating in in-service trainings	Family members providing/participating in in-service trainings Not Useful	Family members providing/participating in in-service trainings	Family members providing/participating in in-service trainings	Family members providing/participating in in-service trainings	Family members providing/participating in in-service trainings Very Useful
Family members hired as staff or consultants	Family members hired as staff or consultants Not Useful	Family members hired as staff or consultants	Family members hired as staff or consultants	Family members hired as staff or consultants	Family members hired as staff or consultants Very Useful
Family members from diverse cultures involved	Family members from diverse cultures involved Not Useful	Family members from diverse cultures involved	Family members from diverse cultures involved	Family members from diverse cultures involved	Family members from diverse cultures involved Very Useful
Family members involved in other Title V activities (State Performance Measures, Initiatives to improve MCH, Block Grants, etc.)	Family members involved in other Title V activities (State Performance Measures, Initiatives to improve MCH, Block Grants, etc.) Not Useful	Family members involved in other Title V activities (State Performance Measures, Initiatives to improve MCH, Block Grants, etc.)	Family members involved in other Title V activities (State Performance Measures, Initiatives to improve MCH, Block Grants, etc.)	Family members involved in other Title V activities (State Performance Measures, Initiatives to improve MCH, Block Grants, etc.)	Family members involved in other Title V activities (State Performance Measures, Initiatives to improve MCH, Block Grants, etc.) Very Useful

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* 7. What did you find most interesting in the report(s)?

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* 8. Are there topics which you wished the report(s) had addressed? If so, please tell us about those:

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* 9. Please provide any other comments here:

Thank you for completing this survey. If you have any additional questions or comments, please contact either:
Nora Wells or Betsy Anderson