Justice Reach Extension Data Survey

Question Title

* 2. What Organization is managing the project?

Organization

Phone

Street Address

City

County

State

Zip Code

Question Title

* 3. What type of organization manages the Project?

Court

Legal Aid Organization

Community Organization

Library

School

State Bar Association

Local Bar Association

Private Bar Association

State Agency

Other (please specify)

Question Title

* 4. Who is the Project Manager?

First Name

Last Name

Title

Employer

Phone

Question Title

* 5. If there is a web link to Project information, what is it?

Question Title

* 6. What is the Project start date?

Date / Time

Date

Question Title

* 7. What is the Project end date?

Date / Time

Date

Question Title

* 8. Please describe the Project?

Question Title

* 9. What stage is the current stage of the Project?

Seeking Funding

Funding Secured

Planning Phase

Pilot Phase

Managing Phase

Other (please specify)

Question Title

* 10. What Case Type(s) does the Project target? Select all that apply.

Family (divorce, custody & support)

Housing

Consumer

Guardianship

Foreclosure

Domestic Violence

Traffic

Misdemeanor

General Civil

Other (please specify)

Question Title

* 11. What Service Type does the Project concern? Select all that apply.

Forms Assistance

Advice and Counsel

Courtroom Services

Information and Referral

Diagnostic

Other (please specify)

Question Title

* 12. What Delivery Type does the Project utilize? Select all that apply.

In-person

Remote

Other (please specify)

Question Title

* 13. What is the Project funding source? Select all that apply.

Legal Services Corporation

Charitable Donation

Private Donation

State Government

Local Government

Court based Funding

Other (please specify)

Question Title

* 14. What Judicial Level does your Project target? Select all that apply.

Limited Jurisdiction

General Jurisdiction

Other (please specify)

Question Title

* 15. How many organizational partners, if any, are involved in the Project?

1 - 3

4 - 6

1 - 3

4 - 6

Justice Reach Extension Data

Justice Reach Project Input

Question Title

* 1. Project Name

Question Title

* 2. What Organization is managing the project?

Question Title

* 3. What type of organization manages the Project?

Question Title

* 4. Who is the Project Manager?

Question Title

* 5. If there is a web link to Project information, what is it?

Question Title

* 6. What is the Project start date?

Question Title

* 7. What is the Project end date?

Question Title

* 8. Please describe the Project?

Question Title

* 9. What stage is the current stage of the Project?

Question Title

* 10. What Case Type(s) does the Project target? Select all that apply.

Question Title

* 11. What Service Type does the Project concern? Select all that apply.

Question Title

* 12. What Delivery Type does the Project utilize? Select all that apply.

Question Title

* 13. What is the Project funding source? Select all that apply.

Question Title

* 14. What Judicial Level does your Project target? Select all that apply.

Question Title

* 15. How many organizational partners, if any, are involved in the Project?

Question Title

* 16. What type of organization manages the Project? Select all that apply.